Diagnostic errors in an accident and emergency department

被引:179
|
作者
Guly, HR [1 ]
机构
[1] Derriford Hosp, Dept Accid & Emergency, Plymouth PL6 8DH, Devon, England
关键词
radiography; diagnostic errors;
D O I
10.1136/emj.18.4.263
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objectives-To describe the diagnostic errors occurring in a busy district general hospital accident and emergency (A&E) department over four years. Method-All diagnostic errors discovered by or notified to one A&E consultant were noted on a computerised database. Results-953 diagnostic errors were noted in 934 patients. Altogether 79.7% were missed fractures. The most common reasons for error were misreading radiographs (77.8%) and failure to perform radiography (13.4%). The majority of errors were made by SHOs. Twenty two diagnostic errors resulted in complaints and legal actions and three patients who had a diagnostic error made, later died. Conclusions-Good clinical skills are essential. Most abnormalities missed on radiograph were not difficult to diagnose. junior doctors in A&E should receive specific training and be tested on their ability to interpret radiographs correctly before being allowed to work unsupervised.
引用
收藏
页码:263 / 269
页数:7
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