Abstract：
BACKGROUND:The purpose of this study was to know the concordance of diagnosis between emergency rooms amd hospitalization wards and to analyze the mistake index, the epidemiological characteristics and the main reasons for the mistakes. PATIENTS AND METHOD:We analyzed hospitalized patients and used a three-level concordance: exact diagnosis (A), syndromical concordance (B) and mistake (C). We compared age, sex, time and days of hospitalization between the groups A+B and C. We also analyzed the causes of mistakes in group C. RESULTS:We found 88.1% of patients in level A, 7.3% in level B and 4.6% in level C. There were no significant differences in the variables analyzed. Main mistakes were a deficient clinical evaluation (50%) and X-ray interpretation (28.6%). CONCLUSIONS:Concordance of diagnoses was the rule, with less than 5% mistakes. There is no clinical or epidemiological pattern for the mistake. The most frequent cause for it was a deficient clinical evaluation.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Tudela P,Mòdol JM,Veny A,Tor J,Bonet M,Rego MJdoi
10.1016/s0025-7753(02)73485-4keywords:
subject
Has Abstractpub_date
2002-10-26 00:00:00pages
531-3issue
14eissn
0025-7753issn
1578-8989pii
S0025-7753(02)73485-4journal_volume
119pub_type
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