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High diagnostic accuracy in emergency departments: Report


High diagnostic accuracy in emergency departments

15, the diagnostic accuracy is high in the emergency department, with about 5.7% of patients being misdiagnosed, according to a report published December 15 by the Agency for Health Research and Quality.

David E. Newman-Toker, MD, Ph.D., from Johns Hopkins University’s Center for Evidence-Based Practice in Baltimore, and colleagues examined diagnostic error or harms associated with misdiagnosis in emergency departments in the United States or other developed countries. A total of 279 studies addressing three key questions were included.

According to the report, in the United States, accurate diagnosis high in emergency department overall, but about 5.7 percent of patients were incorrectly diagnosed. Because of this incorrect diagnosis, some people experience side effects (about 2.0 percent) and some of these side effects are serious (about 0.3 percent). These rates are comparable to rates of primary care and hospital inpatient care.

Overall, five conditions accounted for 39% of misdiagnosed serious harms (stroke, myocardial infarction, aortic aneurysm/dissection, spinal cord compression/injury, and venous thromboembolism). circuit), while the top 15 accounted for 68%. Significant variation is seen in diagnostic error rates by disease, from 1.5 percent for heart attack up to 56 percent for spinal abscesses. For a given disease, the likelihood of error increases with nonspecific or atypical symptoms. Dizziness or vertigo increases the rate of misdiagnosis 14 times more than motor symptoms for stroke.

Scalable solutions to enhance bedside diagnostic procedures are needed, and these should target the most commonly misdiagnosed clinical manifestations of major diseases, the authors write. cause serious harm”.

More information:
Diagnostic error in the emergency department: A systematic review

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quote: High diagnostic accuracy in emergency departments: Report (2022, December 29) retrieved December 29, 2022 from https://medicalxpress.com/news/2022-12-diagnostic-accuracy -high-emergency-departments.html

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