Diagnostic Decision-Making in the Emergency Department.

Abstract:

:Emergency medicine requires diagnosing unfamiliar patients with undifferentiated acute presentations. This requires hypothesis generation and questioning, examination, and testing. Balancing patient load, care across the severity spectrum, and frequent interruptions create time pressures that predispose humans to fast thinking or cognitive shortcuts, including cognitive biases. Diagnostic error is the failure to establish an accurate and timely explanation of the problem or communicate that to the patient, often contributing to physical, emotional, or financial harm. Methods for monitoring diagnostic error in the emergency department are needed to establish frequency and serve as a foundation for future interventions.

journal_name

Pediatr Clin North Am

authors

Medford-Davis LN,Singh H,Mahajan P

doi

10.1016/j.pcl.2018.07.003

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

1097-1105

issue

6

eissn

0031-3955

issn

1557-8240

pii

S0031-3955(18)30100-7

journal_volume

65

pub_type

杂志文章,评审
  • Retinopathy of prematurity.

    abstract::Retinopathy of prematurity (ROP) remains a nonpreventable disorder associated with extreme prematurity. Recent advances in establishing the International Classification of ROP have facilitated both clinical care and research, highlighted by the demonstration of the effectiveness of cryoablative therapy for vision-thre...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38581-9

    authors: Phelps DL

    更新日期:1993-08-01 00:00:00

  • Medical emergency and rapid response teams.

    abstract::Hospitals that care for children are establishing medical emergency or rapid response teams as system solutions for preventing unexpected but foreseeable respiratory and cardiac arrest on inpatient units. Typically, an experienced team of doctors and nurses responds quickly to a direct request by any level of staff or...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2008.04.006

    authors: Tibballs J,van der Jagt EW

    更新日期:2008-08-01 00:00:00

  • Behavioral aspects of trauma in children and youth.

    abstract::Trauma is prevalent in the lives of children. It derives from many sources, and, depending on its characteristics, can produce transient or enduring and devastating consequences. Early trauma, if left untreated, can set the stage for chronic deficits in the behavioral repertoires of affected children, and thus shape p...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(03)00075-0

    authors: Spates CR,Waller S,Samaraweera N,Plaisier B

    更新日期:2003-08-01 00:00:00

  • Tolerance: is it achievable in pediatric solid organ transplantation?

    abstract::In the clinical arena of transplantation, tolerance remains, for the most part, a concept rather than a reality. Although modern immunosuppression regimens have effectively handled acute rejection, nearly all organs except the liver commonly suffer chronic immunologic damage that impairs organ function, threatening pa...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2010.01.015

    authors: Seyfert-Margolis V,Feng S

    更新日期:2010-04-01 00:00:00

  • Controversies in the composition of infant formulas.

    abstract::Available infant formulas contain a vast assortment of carbohydrate, protein, and fat sources in an effort to emulate the composition of human milk. Although infants receiving commercial formulas thrive, physicians should be cognizant of differences in formula composition and the research that has resulted in the diff...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38838-1

    authors: Redel CA,Shulman RJ

    更新日期:1994-10-01 00:00:00

  • Prescription Opioid Misuse Among Adolescents.

    abstract::Although recent spikes in overdose deaths are largely attributable to heroin and fentanyl, prescription opioids still account for a significant percentage of overdose deaths. Additionally, overdose deaths are not a problem solely for adults; roughly 8% of all overdose deaths occur in persons aged 15 to 24. In addition...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2019.08.005

    authors: Ford JA

    更新日期:2019-12-01 00:00:00

  • Assessment and management of fatigue and dyspnea in pediatric palliative care.

    abstract::Fatigue is one of the most prevalent symptoms in patients with a life-threatening illness. Untreated, fatigue can impair quality of life and prohibit addressing practical needs, psychosocial and spiritual distress, and opportunities for growth and closure at life's end. To this end addressing fatigue is a crucial comp...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2007.07.006

    authors: Ullrich CK,Mayer OH

    更新日期:2007-10-01 00:00:00

  • Complications of Treatments for Pediatric Rheumatic Diseases.

    abstract::Medications to treat children with rheumatic disease include disease-modifying antirheumatic drugs, glucocorticosteroids, and biologic response modifiers that target mediators and cells involved in autoimmunity and inflammation. Although usually well-tolerated, such medications have many possible side effects, of whic...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2018.04.008

    authors: Higgins GC

    更新日期:2018-08-01 00:00:00

  • Sleep problems in children and adolescents with common medical conditions.

    abstract::Untreated sleep disturbances and sleep disorders pose significant adverse daytime consequences and place children at considerable risk for poor health outcomes. Sleep disturbances occur at a greater frequency in children with acute and chronic medical conditions compared with otherwise healthy peers. Sleep disturbance...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2011.03.012

    authors: Lewandowski AS,Ward TM,Palermo TM

    更新日期:2011-06-01 00:00:00

  • The Journey to Interprofessional Collaborative Practice: Are We There Yet?

    abstract::Interprofessional collaborative practice (IPCP) is a service delivery approach that seeks to improve health care outcomes and the patient experience while simultaneously decreasing health care costs. The current article reviews the core competencies and current trends associated with IPCP, including challenges faced b...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2017.08.017

    authors: Golom FD,Schreck JS

    更新日期:2018-02-01 00:00:00

  • Adolescent varicocele.

    abstract::The evaluation and management of adolescents with varicoceles continue to evolve. Current recommendations for repair are based on the findings of impaired testicular growth or spermatogenesis; however, with early evaluation and selective treatment, clinicians should be able to reduce the potential for future fertility...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(05)70391-6

    authors: Kass EJ

    更新日期:2001-12-01 00:00:00

  • Stem cell source and outcome after hematopoietic stem cell transplantation (HSCT) in children and adolescents with acute leukemia.

    abstract::Allogeneic hematopoietic stem cell transplantation from siblings, unrelated donors or HLA mismatched family members has become an important procedure to offer a chance of cure to children and adolescents with acute leukemia at high risk of relapse and those with certain genetic diseases. Bone marrow (BM) was the only ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2010.01.004

    authors: Peters C,Cornish JM,Parikh SH,Kurtzberg J

    更新日期:2010-02-01 00:00:00

  • Hypoglycemia: a complication of diabetes therapy in children.

    abstract::The experience of hypoglycemia is probably the most feared and hated consequence of life with type 1 diabetes among pediatric patients and their parents. Although transient detrimental effects are clearly disturbing and may have severe results, there is surprisingly little evidence of long-term CNS damage, even after ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2005.08.002

    authors: Ryan C,Gurtunca N,Becker D

    更新日期:2005-12-01 00:00:00

  • Telehealth in Pediatric Heart Transplant Patients: Exercise, Nutrition, and Parental Imaging.

    abstract::Telehealth is a promising new tool in medicine that has changed the landscape of medical care. The benefits of telehealth technology are immense, including improved access to care and potential savings in monetary and opportunity costs. Current challenges of incorporating telehealth services into regular clinical care...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2020.04.005

    authors: Chen AC,Selamet Tierney ES

    更新日期:2020-08-01 00:00:00

  • Interprofessional Teams: Current Trends and Future Directions.

    abstract::This article addresses the current and desired future state of interprofessional practice in pediatric hospital medicine. It focuses on identifying optimal team composition and work patterns, describing the value of parent involvement on both the patient's care team and on operational teams, describing the need for in...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2019.03.003

    authors: Baird J,Ashland M,Rosenbluth G

    更新日期:2019-08-01 00:00:00

  • Laboratory testing in pediatric rheumatology.

    abstract::In children, laboratory evaluations can assist in the screening of patients for inflammatory disorders, confirm diagnoses, allow for monitoring of disease activity and response to therapy, and suggest prognoses and risk of morbidities associated with rheumatic diseases. This review provides an overview of the usefulne...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2012.03.008

    authors: Mehta J

    更新日期:2012-04-01 00:00:00

  • Malignant abdominal masses in children: quick guide to evaluation and diagnosis.

    abstract::A palpable mass in the abdomen of a child is a serious finding. In this article the authors present their single-institution experience of how these malignancies present and their distribution by age and diagnosis. The most common abdominal malignancies diagnosed in the pediatric population include neuroblastoma, Wilm...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(02)00098-6

    authors: Golden CB,Feusner JH

    更新日期:2002-12-01 00:00:00

  • Pediatric tumors of the eye and orbit.

    abstract::Most ocular and orbital tumors of childhood are distinct from tumors that occur in adults. Many are congenital with early presentations. Most pediatric orbital tumors are benign; developmental cysts comprise half of orbital cases, with capillary hemangioma being the second most common orbital tumor. The most common or...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(02)00115-3

    authors: Castillo BV Jr,Kaufman L

    更新日期:2003-02-01 00:00:00

  • The changing American family.

    abstract::The increase in single-parent families, step-families, maternal employment, and young children in substitute care are among several important changes in the American family in recent decades. Although it is not clear that these changes necessarily lead to negative outcomes in children, it is apparent that a variety of...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36584-1

    authors: Dubowitz H,Newberger CM,Melnicoe LH,Newberger EH

    更新日期:1988-12-01 00:00:00

  • Combination antimicrobial therapy.

    abstract::In spite of a large volume of data regarding the in vitro activity of single and combined antimicrobial activity, the clinical relevance of these studies is unclear. Few comparative trials of combined and single antibiotic therapy of human infection have been performed. Synergistic combination therapy has been shown t...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)34325-5

    authors: Shlaes DM,Bass SN

    更新日期:1983-02-01 00:00:00

  • The Approach to the Child with Joint Complaints.

    abstract::This article focuses on creating an orderly approach to history taking, examination, and ordering appropriate investigations when caring for a child with joint complaints. It classifies complaints as those with and without pain, swelling, or fever and of short or long duration. It recommends an approach to the physica...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2018.03.003

    authors: Haines KA

    更新日期:2018-08-01 00:00:00

  • Diabetic ketoacidosis.

    abstract::In the past decade, considerable advances have occurred in our understanding of the pathophysiology of this disorder, its metabolic sequelae, and its management, particularly with respect to continuous low-dose insulin infusion and the potential benefits of phosphate. This article reviews these advances as they pertai...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)34608-9

    authors: Sperling MA

    更新日期:1984-06-01 00:00:00

  • Social skills training for children with autism.

    abstract::This article summarizes the current literature on social skills training for children and adolescents with autism spectrum disorders. The article describes several different methods of social skills training, along with a summary of research findings on effectiveness. Interventions described include social skills grou...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2011.10.001

    authors: Bohlander AJ,Orlich F,Varley CK

    更新日期:2012-02-01 00:00:00

  • The organization of a pediatric critical care transport program.

    abstract::Highly specialized pediatric critical care centers have matured significantly over the past two decades; however, access to this care is limited to tertiary care facilities and constrained by geography. With the advances of transport medicine, great distances can be spanned to bring critical care to the patient and pr...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)38508-x

    authors: Pon S,Notterman DA

    更新日期:1993-04-01 00:00:00

  • The wheezing infant.

    abstract::In summary, wheezing is a common manifestation of viral respiratory tract disease in infancy. The precise pathogenetic mechanisms of virus-induced wheezing and its sequelae are not clear, although recent reports about participation of the cellular and humoral immune systems are promising. Although therapies like those...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(16)36545-2

    authors: Skoner D,Caliguiri L

    更新日期:1988-10-01 00:00:00

  • Sports participation during teenage years.

    abstract::Ensuring the safety of young athletes is a priority among health care providers. Controversy remains as to the best method of preparticipation screening. The American Academy of Pediatrics and the American Heart Association currently recommend screening with history and physical examination, without routine electrocar...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2013.09.020

    authors: Galas JM

    更新日期:2014-02-01 00:00:00

  • The National Spina Bifida Program transition initiative: the people, the plan, and the process.

    abstract::This article outlines and summarizes the rationale and the working process that was undertaken by the National Spina Bifida Program to address the issues of transitioning throughout the life course for persons growing up with spina bifida. Their challenges include achieving independent living, vocational independence,...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.pcl.2010.07.010

    authors: Thibadeau JK,Alriksson-Schmidt AI,Zabel TA

    更新日期:2010-08-01 00:00:00

  • Hematologic disorders of children in developing countries.

    abstract::This article outlines a few of the hematologic problems that are particular to developing countries, particularly those of the tropics. Because of globalization and the increasing movement of populations, hematologists in wealthier countries must be aware of the general patterns of hematologic change in the important ...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(02)00087-1

    authors: Weatherall DJ,Kwiatkowski D

    更新日期:2002-12-01 00:00:00

  • Sleep problems in children with common medical disorders.

    abstract::Sleep problems are common in many pediatric medical disorders and complicate management and patient outcomes. A wide range of conditions, including asthma, cystic fibrosis, sickle cell disease, gastroesophageal reflux, neuromuscular diseases, scoliosis, craniofacial abnormalities, obesity, and chromosomal disorders, h...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0031-3955(03)00185-8

    authors: Bandla H,Splaingard M

    更新日期:2004-02-01 00:00:00

  • Obstructive sleep breathing disorders.

    abstract::Obstructive sleep apnea (OSA) is increasingly recognized in children. There is accumulating robust evidence to support early diagnosis and treatment of this condition. The purpose of this review is to provide an update on the epidemiology, clinical features, complications, and treatment of childhood OSA. The authors h...

    journal_title:Pediatric clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.pcl.2008.10.012

    authors: Au CT,Li AM

    更新日期:2009-02-01 00:00:00