儿科重症监护诊断错误的患病率和特征:一个多中心研究
Christina L Cifra1,2, Jason W Custer3, Craig M Smith4
1Division of Critical Care, Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, IA.
在入住儿科重症监护室 (PICU) 的重症儿童中,1.5%的诊断错误发生. 非典型的表现和诊断不确定性是关键因素,突出了改善诊断策略的领域.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 患者安全研究的研究.
- 诊断错误分析的分析
背景情况:
- 儿科重症监护室 (PICU) 的诊断错误可能会影响患者的治疗结果.
- 了解这些错误的普遍性和原因对于开发有效干预措施至关重要.
研究的目的:
- 确定重症儿童诊断错误的流行率和特征.
- 确定与PICU设置中诊断错误相关的因素.
主要方法:
- 一项多中心回顾性队列研究,涉及882名入院于四个学术 PICU 的儿科患者.
- 使用Revised Safer Dx仪器审查了医疗记录,最终由儿科重症专家进行确定.
主要成果:
- 在PICU入院7天内观察到1.5%的诊断错误率 (882例入院中有13例).
- 感染和呼吸道疾病是最常见的错误诊断;一个错误导致了长时间的住院治疗.
- 非典型的表现 (OR 4.58) 和入院时的诊断不确定性 (OR 9.67) 与诊断错误有显著的相关性.
结论:
- 诊断错误影响了PICU中病情严重的儿童中很小但很大一部分.
- 针对诊断不确定性和非典型表现的干预措施可以减少该群体的诊断错误.
更多相关视频
06:15Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
06:09Author Spotlight: Exploring Venous Waveforms in Porcine Models to Tackle Volume Overload in Medicine
Published on: January 12, 2024
相关概念视频
Documentation of Nursing Diagnosis
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
Errors occurring during blood pressure monitoring
Several factors...
Types of Errors: Detection and Minimization
Absolute error in a measurement is the numerical difference from the true or central value. Relative error is the ratio between absolute error and the true or central value, expressed as a percentage.
Errors can be classified by source, magnitude, and sign. There are three types of errors: systematic, random, and gross.
Systematic or...
Systematic Error: Methodological and Sampling Errors
Sampling errors originate from improper sampling methods or the wrong sample population. These errors can be minimized by refining the sampling strategy. Defective instruments or faulty calibrations are the sources of instrumental...
Pneumonia III: Complications and Assessment
Bias in Epidemiological Studies
