Community validation of an approach to detect delayed diagnosis of appendicitis in big databases.

Kenneth A Michelson; Finn L. E McGarghan; Mark L Waltzman; Margaret E Samuels-Kalow; Richard G Bachur

Study

Community validation of an approach to detect delayed diagnosis of appendicitis in big databases.

October 11, 2023

Michelson KA, McGarghan FLE, Waltzman ML, et al. Hosp Pediatr. 2023;13(7):e170-e174.

View more articles from the same authors.

Trigger tools are commonly used to detect adverse events and identify areas for safety improvement. This study found that trigger tools using electronic health record-based data can accurately identify delayed diagnosis of appendicitis in pediatric patients in community emergency department (ED) settings.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments.

October 26, 2022

Clinician factors associated with delayed diagnosis of appendicitis.

July 5, 2023

Clinical features and preventability of delayed diagnosis of pediatric appendicitis.

September 29, 2021

Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals.

September 13, 2023

Emergency department volume and delayed diagnosis of serious pediatric conditions.

February 28, 2024

Disparities in diagnostic timeliness and outcomes of pediatric appendicitis.

February 21, 2024

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.

January 4, 2021

Analysis of a medication safety intervention in the pediatric emergency department.

January 24, 2024

Effective discharge communication in the emergency department.

February 1, 2012

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.

January 12, 2022

Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.

August 1, 2012

Venous thromboembolism after trauma: a never event?

October 10, 2012

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria.

June 7, 2023

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report.

April 3, 2019

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion.

December 2, 2020

From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration.

August 18, 2021

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.

November 6, 2013

Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations.

March 15, 2017

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety.

January 21, 2009

Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study.

August 19, 2020

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

April 22, 2009

Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement.

June 4, 2008

The safety of inpatient health care.

January 25, 2023

Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults.

September 6, 2023

Guidelines for the prevention of intravascular catheter-related infections.

May 25, 2011

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.

June 22, 2022

Preventing home medication administration errors.

March 14, 2022

Opioid prescribing after childbirth and risk for serious opioid-related events: a cohort study.

July 1, 2020

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Expert consensus on currently accepted measures of harm.

September 9, 2020

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.

March 30, 2022

Association of state-level opioid-reduction policies with pediatric opioid poisoning.

August 5, 2020

A controlled trial of a rapid response system in an academic medical center.

June 25, 2008

February 1, 2012

Extended work shifts and neurobehavioral performance in resident-physicians.

March 10, 2021

Cumulative effect of flexible duty-hour policies on resident outcomes: long-term follow-up results from the FIRST trial.

July 15, 2020

Effect on patient safety of a resident physician schedule without 24-hour shifts.

July 15, 2020

Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS).

June 26, 2019

Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey

December 23, 2020

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology.

May 19, 2021

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).

November 3, 2021

Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study.

July 13, 2016

The Lancet Commission on lessons for the future from the COVID-19 pandemic.

October 12, 2022

Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.

October 4, 2023

Strategies for developing and recognizing faculty working in quality improvement and patient safety.

June 1, 2016

Diagnostic concordance among pathologists interpreting breast biopsy specimens.

March 25, 2015

International evaluation of an AI system for breast cancer screening.

January 29, 2020

Improving self-reported empathy and communication skills through harm in healthcare response training.

January 26, 2022

How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.

July 10, 2019

Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters.

April 25, 2012

Surgical safety does not happen by accident: learning from perioperative near miss case studies.

January 24, 2024

Interpersonal and organizational dynamics are key drivers of failure to rescue.

December 5, 2018

Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.

November 21, 2007

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Reducing pediatric emergency department prescription errors.

June 22, 2022

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

August 28, 2013

Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine.

January 21, 2015

The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy.

November 10, 2010

Using social and behavioural science to support COVID-19 pandemic response.

June 3, 2020

Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.

January 23, 2019

The extent and importance of unintended consequences related to computerized provider order entry.

May 16, 2007

A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.

November 17, 2010

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial.

January 17, 2007

Cognitive interventions to reduce diagnostic error: a narrative review.

May 16, 2012

Adverse events related to accidental unintentional ingestions from cough and cold medications in children.

August 26, 2020

Medication errors from over-the-counter cough and cold medications in children.

May 6, 2020

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Some unintended effects of teamwork in healthcare.

March 10, 2010

Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.

October 10, 2012

A Department of Medicine infrastructure for patient safety and clinical quality improvement.

December 20, 2017

The new diagnostic team.

November 22, 2017

Human factors and simulation in emergency medicine.

March 21, 2018

Use of cascading A3s to drive systemwide improvement.

August 2, 2017

Readiness of US general surgery residents for independent practice.

October 4, 2017

Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital.

April 29, 2015

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

December 6, 2006

6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial.

June 22, 2016

Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care.

February 7, 2007

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.

November 19, 2014

Practice advisory for the prevention and management of operating room fires.

May 7, 2008

Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.

April 7, 2010

Surgeons' disclosures of clinical adverse events.

July 27, 2016

Determination of unnecessary blood transfusion by comprehensive 15-hospital record review.

January 25, 2023

Transforming the medication regimen review process using telemedicine to prevent adverse events.

December 16, 2020

Absence or presence: silent discourse in the operating room and impact on surgical team action.

November 11, 2020

Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems.

November 29, 2023

Working conditions in primary care: physician reactions and care quality.

July 22, 2009

How communication "failed" or "saved the day": counterfactual accounts of medical errors.

February 3, 2021

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.

January 30, 2005

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association.

August 21, 2013

Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry.

July 19, 2006

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

February 9, 2011

Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes.

May 22, 2019

Trainees' perceptions of patient safety practices: recounting failures of supervision.

January 26, 2011

Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial.

May 23, 2012

A surgical safety checklist to reduce morbidity and mortality in a global population.

January 21, 2009

Related Resources

WebM&M Cases

Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.

April 24, 2024

An electronic trigger to detect telemedicine-related diagnostic errors.

April 17, 2024

Journal Article

Study

Implicit bias and patient care: mitigating bias, preventing harm.

April 10, 2024

WebM&M Cases

Do Not Miss Sepsis Needles in Viral Haystacks!

March 27, 2024

Emergency department volume and delayed diagnosis of serious pediatric conditions.

February 28, 2024

Disparities in diagnostic timeliness and outcomes of pediatric appendicitis.

February 21, 2024

Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study.

February 21, 2024

Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022.

January 24, 2024

WebM&M Cases

Radiology Missed an Intracranial Bleed in a Lethargic Infant.

January 4, 2024

"ChatGPT, can you help me save my child's life?" - Diagnostic accuracy and supportive capabilities to lay rescuers by ChatGPT in prehospital basic life support and paediatric advanced life support cases - an in-silico analysis.

December 6, 2023

Preferred language and diagnostic errors in the pediatric emergency department.

November 8, 2023

Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters.

November 1, 2023

Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals.

September 13, 2023

Work system barriers and facilitators of a team health information technology.

September 13, 2023

Improving emergency medicine clinician awareness of prehospital-administered medications.

August 9, 2023

Clinician factors associated with delayed diagnosis of appendicitis.

July 5, 2023

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

Patient safety in emergency departments: a problem for health care systems? An international survey.

June 21, 2023

Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department.

May 31, 2023

Non-accidental Injuries in Infants Attending the Emergency Department.

May 17, 2023

Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network.

May 10, 2023

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.

March 1, 2023

In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study.

February 22, 2023

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

Diagnostic Errors in the Emergency Department: A Systematic Review.

December 21, 2022

Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis.

December 15, 2022

A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.

December 7, 2022

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

See More About The Topic

Emergency Departments

Pediatric Emergency Medicine

Clinical Misdiagnosis

Computerized Adverse Event Detection

Community validation of an approach to detect delayed diagnosis of appendicitis in big databases.

Implicit bias and patient care: mitigating bias, preventing harm.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Community validation of an approach to detect delayed diagnosis of appendicitis in big databases.

Implicit bias and patient care: mitigating bias, preventing harm.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site