Childish! If you have a lot of spare time, go out and help keep the streets
clean!
//Bengt
>----Ursprungligt meddelande----
>Från: [log in to unmask]
>Datum: 2012-01-09 15:01
>Till: <[log in to unmask]>
>Ärende: Re: Ten commandments for testing
>
>Tom
>
>I thanketh thee most sincerely in the first person active present
>singular indicative for thy syntactic pedagogy.
>
>m
>
>
>On 1/9/12, Roper Tom (WESTERN SUSSEX HOSPITALS NHS TRUST)
><[log in to unmask]> wrote:
>> If it is the intention to publish, I'd suggest that some attention to
>> archaic grammar, particularly verb-endings, might enhance the
commandments'
>> value.
>> The ending -eth was used in the third person singular indicative. So,
>> 'before thou ordereth a test' should be 'before thou orderest'...and so on
>> Tom
>>
>> Tom Roper
>> Primary Care Librarian
>> West Sussex Knowledge & Libraries
>> Mobile: 07786 981123
>> E-mail: [log in to unmask]
>> http://www.westsussexknowledge.nhs.uk/
>>
>> ________________________________
>> From: Evidence based health (EBH) [[log in to unmask]]
On
>> Behalf Of Ash Paul [[log in to unmask]]
>> Sent: 09 January 2012 13:21
>> To: [log in to unmask]
>> Subject: Re: Ten commandments for testing
>>
>> Dear Greg,
>>
>> I have biblified yours/Anna's list and circulated it to our NHS Public
>> Health Commissioners e-group. I have proposed calling them the Fell-
Sayburn
>> Commandments
>>
>>
>>
>>
>> 1. Before thou ordereth a test, thou shalt remembereth that ?All tests
can
>> doeth harm. Many tests doeth good. Some tests doeth more good than harm?
>>
>>
>>
>> 1. Thou shalt knoweth the predictive positive value and predictive
>> negative value of the test before thou ordereth it
>>
>>
>>
>> 1. Thou shalt knoweth that if thou ordereth a test with a positive
>> predictive value below 50%, thou might as well tosseth a coin
>>
>>
>>
>> 1. Thou shalt knoweth the prevalence of the disease in the population
from
>> which the person thou art going to test cometh from; for combined with
>> positive predictive value or negative predictive value, thou can then
>> ensureth that thou hast interpreted the result properly. Thou shalt
>> recogniseth that in a low prevalence population, even a very sensitive
test
>> has poor predictive value, and if thou ordereth such a test, thou might as
>> well tosseth a coin.
>>
>>
>>
>> 1. Thou shalt knoweth exactly what thou art going to doeth with the
result
>> of the test before thou ordereth it. ?If thou doth not know what to doeth
>> with the result, or if the test is not part of an evidenced-based pathway,
>> then thou shalt DESIST from ordering such a test.?
>>
>>
>>
>> 1. Thou shalt knoweth the cost of the test thou art going to ordereth,
>> before thou ordereth it, and also enquireth whether there are cheaper ways
>> of finding the same result.
>>
>>
>>
>> 1. Thou shalt knoweth who else might have in the past, or might in the
>> future, ordereth the same test under the same set of circumstances, and
then
>> ensureth they know they are wasting resources as thou hast done it already
>> before. Therefore, thou shalt recordeth the result of the test thou
ordereth
>> very clearly for all others to see.
>>
>>
>>
>> 1. Thou shalt informeth patients that ?shinier scanners and swizzier
kits"
>> might well giveth better resolution pictures but they might not actually
>> changeth a clinical management decision
>>
>>
>>
>> 1. Thou shall simply not asketh or ordereth patients to undertake
>> diagnostic tests for which there is well proven evidence of no benefit
>>
>> 10. Thou shalt explaineth to the patient, clearly and without bias,
what
>> the test can and canst tell thou, and thou shalt asketh them if they are
>> happy to goeth ahead on that basis.
>>
>>
>> Regards,
>>
>> Ash
>>
>>
>> ________________________________
>> From: Fell Greg <[log in to unmask]>
>> To: [log in to unmask]
>> Sent: Monday, 9 January 2012, 12:19
>> Subject: Re: Ten commandments for testing
>>
>> accept the need for a ?full? version (with refs and all that)?.guess it
>> depends on intended audience and endpoint. I feel the slightly humerous
>> biblified version might have more ?reach? (on account of the humour
>> factor)?.but accept that ?reach? and ?influence? might be two slightly
>> different things.
>> I am not going to die in a ditch about either.
>> The important thing is that the list sees the light of day outside this e
>> group ? published / blogged / other. I am intending on using it
extensively
>> locally.
>> Do colleagues feel this is publishable.
>>
>> gf
>>
>>
>>
>>
>>
>>
>>
>> ________________________________
>>
>>
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