| An audit of doctor's management of patients with chest pain in the accident and emergency department. | |
| | |
MedLine Citation:
|
PMID: 2602534 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In a series of 604 patients attending an accident and emergency department with chest pain, the decisions made by casualty officers about admission to the coronary care unit were compared with the retrospective opinions of experienced clinical assessors who knew the results of any subsequent investigations. Of the 119 patients whom the assessors judged should have been admitted to the coronary care unit, 14 (11.8 per cent) were judged to have been discharged in error. Of the 485 patients whom the assessors judged should not have been admitted to the coronary care unit, 32 (16 per cent) were judged to have been advised admission unnecessarily. Misinterpretation of the electrocardiographic results was apparently the reason for five of the 14 false negative errors and four of the 32 false positive errors. The median time that patients who were eventually admitted to the coronary care unit spent in the accident and emergency department was 78 min. |
| | |
Authors:
|
P A Emerson; N J Russell; J Wyatt; N Crichton; C F Pantin; A D Morgan; P R Fleming |
Related Documents
:
|
22725614 - Current equations estimating glomerular filtration rate in primary care: comparison and... 22391594 - Caring for a loved one with a malignant fungating wound. 22424854 - Interpretation and management of inr results: a case history based survey in 13 countries. 22498484 - Transition to an elastomeric infusion pump in home care: an evidence-based approach. 7542164 - Volunteers, doctors take palliative care into the community. 3881234 - The intensive care unit syndrome: causes, treatment, and prevention. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The Quarterly journal of medicine Volume: 70 ISSN: 0033-5622 ISO Abbreviation: Q. J. Med. Publication Date: 1989 Mar |
Date Detail:
|
Created Date: 1990-02-06 Completed Date: 1990-02-06 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0401027 Medline TA: Q J Med Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 213-20 Citation Subset: IM |
Affiliation:
|
Westminster Hospital, London. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Chest Pain* Coronary Care Units / utilization* Emergency Service, Hospital / standards* False Negative Reactions Humans London Medical Audit* Patient Admission / statistics & numerical data* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Alexithymia and breast cancer. Survey of 200 women undergoing mammography.
Next Document: Renal biopsy in patients with unexplained renal impairment and normal kidney size.