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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, Kirkels HG, Poldervaart JM, de Groot E, et al. Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. J Patient Saf. 2020. Epub 2020/12/17.  

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February 3, 2021
Erkelens DC, Rutten FH, Wouters LT, et al. J Patient Saf. 2022;18(1):40-45.

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.   

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Erkelens DC, Rutten FH, Wouters LT, Kirkels HG, Poldervaart JM, de Groot E, et al. Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control study. J Patient Saf. 2020. Epub 2020/12/17.