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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Diagnostic safety and quality optimization in sepsis study protocol.

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Improving sepsis diagnosis is crucial as it

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Area of Science:

  • Implementation science
  • Patient safety research
  • Healthcare quality improvement

Background:

  • Sepsis diagnosis is prone to errors, impacting patient outcomes.
  • Current strategies for optimizing sepsis diagnostic accuracy are insufficient.
  • High prevalence and severity necessitate improved diagnostic approaches.

Purpose of the Study:

  • To identify factors contributing to high sepsis diagnostic accuracy.
  • To apply safety and implementation science principles to sepsis diagnosis.
  • To understand and address barriers and facilitators in sepsis diagnosis.

Main Methods:

  • Multi-site study across 20 hospitals in four US states.
  • Electronic surveys and interviews to identify barriers and facilitators.
  • Analysis of electronic health records and data warehouses for diagnostic accuracy.

Main Results:

  • 20 hospitals enrolled; data collection is underway.
  • Study aims to describe hospital-level variability in sepsis diagnosis.
  • Analysis will determine conditions for optimal sepsis diagnosis.

Conclusions:

  • Utilizes safety and implementation science for sepsis diagnosis.
  • Generates novel evidence to enhance diagnostic excellence in sepsis.
  • Findings will inform a toolkit for diverse hospital settings.