Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia.

Emma Dregmans; Anna G Kaal; Soufian Meziyerh; Nikki E Kolfschoten; Maarten O van Aken; Emile F Schippers; Ewout W Steyerberg; Cees van Nieuwkoop

Study

Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia.

July 13, 2022

Dregmans E, Kaal AG, Meziyerh S, et al. JAMA Netw Open. 2022;5(6):e2218172.

View more articles from the same authors.

Inappropriate antibiotic prescribing can result in patient harm and costly antibiotic-resistant infections. Health record review of 1,477 patients admitted from the emergency department for suspected bacteremia infection revealed that 11.6% were misdiagnosed at infection site, and 3.1% did not have any infection. Misdiagnosis was not associated with worse short-term clinical outcomes but was associated with potentially inappropriate broad-spectrum antibiotic use.

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Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia.

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

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

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