A look at unrecognized cardiovascular emergencies
from Physician's Weekly
Getting the diagnosis right is among the most fundamental of patient expectations. However, according to a 2015 report by the Institute of Medicine, how often physicians get it wrong is not known, because there are few accepted methods for measuring the scope of the problem. For a study published in JAMA Internal Medicine, researchers answered the IOM's call to develop tools to measure diagnostic error by considering the scenario of patients presenting to the ED with life-threatening cardiovascular emergencies. Specifically, they considered ruptured abdominal aortic aneurysm, acute myocardial infarction, stroke, aortic dissection and subarachnoid hemorrhage and asked what proportion of ED visits attributable to these conditions (or their prodromes) end in discharge home without a diagnosis.
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