Article on missed diagnosis of stroke in young people in the ER

Mittal, Manoj K MITTAL at EMAIL.CHOP.EDU
Tue Apr 8 16:31:42 UTC 2014


Hello,
The definition for missed diagnosis of stroke used in this study is "We identified adult patients admitted for stroke with a treat-and-release ED visit in the prior 30 days, considering those given a non-cerebrovascular diagnosis as probable (benign headache or dizziness diagnosis) or potential (any other diagnosis) missed strokes."
Can somebody help me understand how a patient who presents with headache and a completely normal neurologic exam today and presents/ is diagnosed with a stroke 3 weeks later, be considered a missed diagnosis of stroke the first time? Isn't this over-reach / Monday morning quarter backing?
Manoj Mittal, MD
CHOP

From: lorri Zipperer [mailto:zipperer_info at YAHOO.COM]
Sent: Tuesday, April 08, 2014 11:30 AM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Article on missed diagnosis of stroke in young people in the ER

Are mental models about who has a stroke getting in the way of effective diagnosis? This new article could help us understand the potential of that situation existing in emergency rooms and its negative impact on patient safety.

Newman-Toker DE, Moy E, Valente E, Coffey R, Hines AL. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample.  Diagnosis. 2014 Apr 5; [Epub ahead of print].
http://www.degruyter.com/view/j/dx.ahead-of-print/dx-2013-0038/dx-2013-0038.xml<http://www.degruyter.com/view/j/dx.ahead-of-print/dx-2013-0038/dx-2013-0038.xml?format=INT> [Free full text].
http://www.npr.org/blogs/health/2014/04/05/299200133/emergency-docs-more-likely-to-miss-signs-of-stroke-in-the-young

Enjoy!

Lorri Zipperer, Cybrarian
List Moderator
Communications Co-Chair
Society to Improve Diagnosis in Medicine
http://www.improvediagnosis.org/
http://www.linkedin.com/groups/Diagnostic-Error-in-Medicine-3986241
twitter: @ImproveDX
lorri at zpm1.com<mailto:lorri at zpm1.com>



________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>

To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator: Lorri Zipperer Lorri at ZPM1.com<mailto:Lorri at ZPM1.com>, Communication co-chair, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/








HTML Version:
URL: <../attachments/20140408/fd345784/attachment.html>


More information about the Test mailing list