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Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.

Vaghani V, Wei L, Mushtaq U, Sittig DF, Bradford A, Singh H. Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. J Am Med Inform Assoc. 2021;28(10):2202-2211. doi:10.1093/jamia/ocab121

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August 25, 2021
Vaghani V, Wei L, Mushtaq U, et al. J Am Med Inform Assoc. 2021;28(10):2202-2211.

Based on the Safer Dx and SPADE frameworks, researchers applied a symptom-disease pair-based electronic trigger (e-trigger) to identify patients hospitalized for stroke who had been previously discharged from the emergency department with a diagnosis of headache or dizziness in the preceding 30 days. Analyses show that the e-trigger identified missed diagnoses of stroke with a modest positive predictive value.

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Vaghani V, Wei L, Mushtaq U, Sittig DF, Bradford A, Singh H. Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. J Am Med Inform Assoc. 2021;28(10):2202-2211. doi:10.1093/jamia/ocab121