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PSNet: Patient Safety Network
Journal Article
Study

Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study.

Erkelens DC, Rutten FH, Wouters LT, et al. J Patient Saf. 2020;Epub Dec 17.

Delays in diagnosis and treatment during after-hours care pose serious threats to patient safety. This case-control study compared missed acute coronary syndrome (ACS) cases to other cases with chest discomfort occurring during out-of-hours services in primary care. Predictors of missed ACS included the use of cardiovascular medication, non-retrosternal chest pain, and consultation of the supervising general practitioner.