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Search results for "Clinical Misdiagnosis"
- Clinical Misdiagnosis
- Postoperative Surgical Complications
Journal Article > Commentary
Graber ML, Berg D, Jerde W, Kibort P, Olson APJ, Parkash V. Diagnosis (Berl). 2018;5:257-266.
This commentary provides a clinical review of a missed diagnosis of Epstein-Barr virus infection that was identified via autopsy and summarizes contributing factors to the incident with an emphasis on the role of cognitive bias. The piece includes the perspectives of the patient's family and from the organization regarding what happened and what could have been done to prevent this outcome. This discussion is the first in a series of diagnostic error case presentations to be published in this journal.
Journal Article > Study
Kummerow Broman K, Gaskill CE, Faqih A, et al. JAMA Surg. 2019;154:117-124.
This prospective study examined the impact of wound photography on surgeons' remote diagnosis and suggestions for management of surgical site infections (SSIs). When wound photographs were provided along with clinical scenarios, researchers found no change in diagnostic accuracy, a decrease in sensitivity, and an increase in specificity. The inclusion of images led to changes in surgeons' assessments in 27% of cases, both from correct to incorrect and incorrect to correct in almost equal numbers. Surgeons did report improved confidence in diagnosis of SSIs when photographs were included, whether or not their assessment was correct.
Journal Article > Study
Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program.
Gibson A, Tevis S, Kennedy G. Am J Surg. 2014;207:832-839.
The National Surgical Quality Improvement Program (NSQIP) was developed to monitor and enhance the quality of surgical care. This retrospective study used the NSQIP indicators to identify cases of surgical site infections. Researchers found that nearly 50% of patients were diagnosed following hospital discharge, and many of these infections led to readmissions. Patients who presented with a surgical site infection after discharge were less likely to smoke or have chronic cardiopulmonary illness. The authors suggest that closer postdischarge follow-up might have prevented some readmissions they identified. However, prior studies did not show a benefit to early follow-up. A past AHRQ WebM&M commentary discussed environmental safety in the operating room and its relationship to surgical site infections.