학술논문

Analysis of possible diagnostic errors - a proposed formula to improve the management of respiratory patients
Document Type
Conference
Source
2017 E-Health and Bioengineering Conference (EHB) E-Health and Bioengineering Conference (EHB), 2017. :486-489 Jun, 2017
Subject
Bioengineering
Components, Circuits, Devices and Systems
Computing and Processing
Engineered Materials, Dielectrics and Plasmas
Signal Processing and Analysis
Admittance
Medical diagnostic imaging
Databases
Diseases
Hospitals
Cognition
diagnostic errors
unintended harm
chronic respiratory disease
improvement science
Language
Abstract
The diagnostic errors are a controversial but real-life topic considered a leading cause of death and unintended harm due to medical-care procedures. We proposed a formula to assess the possibility to identify the diagnostic errors using a database analysis of patients admitted and released from the Clinic of Pulmonary Diseases. We built a database from the admittances and releases during a 21 months period and use a trigger based on a score. Our analysis found out that 48% of patients released had a different diagnostic on release than on admittance. 11,8% patients were re-admitted after less than 30 days upon their release and 871 Patients (6,1% from total, 51,3% from re-admittances) were readmitted with a different diagnosis. This way, we found 8% of our database entries can be assessed as diagnostic errors, the percent being aligned to international findings.