| Profiles in patient safety: A "perfect storm" in the emergency department. | |
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MedLine Citation:
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PMID: 17538077 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Correct and rapid diagnosis is pivotal to the practice of emergency medicine, yet the chaotic and ill-structured emergency department environment is fertile ground for the commission of diagnostic error. Errors may result from specific error-producing conditions (EPCs) or, more frequently, from an interaction between such conditions. These EPCs are often expedient and serve to shorten the decision making process in a high-pressure environment. Recognizing that they will inevitably exist, it is important for clinicians to understand and manage their dangers. The authors present a case of delayed diagnosis resulting from the interaction of a number of EPCs that produced a "perfect" situation to produce a missed or delayed diagnosis. They offer practical suggestions whereby clinicians may decrease their chances of becoming victims of these influences. |
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Authors:
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Samuel G Campbell; Pat Croskerry; William F Bond |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2007-05-30 |
Journal Detail:
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Title: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Volume: 14 ISSN: 1553-2712 ISO Abbreviation: Acad Emerg Med Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-07-27 Completed Date: 2007-09-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9418450 Medline TA: Acad Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 743-9 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. emsgc@cdha.nshealth.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Atrial Fibrillation
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diagnosis*,
therapy Attitude of Health Personnel* Decision Making Diagnostic Errors / prevention & control*, statistics & numerical data Emergency Medicine / methods Emergency Service, Hospital* Emergency Treatment Female Humans Interprofessional Relations Kidney Failure, Chronic / diagnosis, therapy Middle Aged Patient Transfer Physician's Practice Patterns Renal Dialysis / adverse effects, methods Risk Assessment Safety Management* Seizures / diagnosis*, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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