Articles Tagged With: Diagnostics
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Med/Mal Claims Focus on Decision Aid Findings from ECGs, Radiology Tests
If the radiologist does not address computer findings directly, the ED clinician is left to make assumptions about what the radiologist has found significant or insignificant. If radiologists are not routinely addressing computer findings, emergency providers will spend resources attempting to sift through reports and images, trying to rule in or out what the computer has found. Radiologists should acknowledge computer findings, and comment on why or why not the finding is accurate and significant to the patient’s care.
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Neurologists Try to Predict Cognitive Impairment Earlier
Researchers used easy memory tests among healthy participants to determine who might be more likely to need closer monitoring.
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How to Diagnose ATTR Cardiac Amyloidosis
A retrospective study of patients with confirmed cardiac amyloidosis showed negative light chain biomarkers and a typical pattern of cardiac amyloid on cardiac MRI was highly specific for the diagnosis of the transthyretin subtype and may obviate the need for further testing before starting treatment.
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Harsh Criticism for New Report on ED Diagnostic Errors
New research that might have injected renewed vigor into improving diagnostic performance in the ED has instead prompted much uproar. In the emergency medicine community, that discussion has been overshadowed by biting criticism about the data and the methodologies investigators used to reach their conclusions — and what some are calling unfair blame placed at the foot of emergency providers.
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Patients with Nonspecific, Atypical Symptoms Could Be Misdiagnosed
An emergency medicine professor explains how providers can reduce risks for ED patients who present with unusual symptoms.
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Tactics to Improve Diagnostic Performance When Caring for Older Adults
Experts in diagnostics and elder care recently discussed the unique challenges of coming to a correct diagnosis for older patients and how healthcare providers can improve their performance.
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In Med/Mal Cases for Missed Central Nervous Pathology, Dizziness Is Factor
After reviewing dozens of malpractice claims, researchers learned patients who reported dizziness often were discharged home or admitted without anyone diagnosing central nervous system pathology. Patients presented to an ED and were diagnosed with migraine or other conditions. The correct diagnoses only became clear later. The subsequent lawsuits revolved around the first emergency physician missing the diagnosis at the initial visit.
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Leverage Telemedicine to Speed Care for Lower-Acuity Patients
By leveraging telemedicine technology, the ED at Stanford Hospital established a Virtual Visit Track, a solution that accelerated care for lower-acuity patients and helped staff effectively manage at least some of its pandemic-related challenges. Furthermore, it is an approach that might even be more applicable for health systems that operate multiple EDs.
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During Patient Surges, Rapid Assessment Zone Reduces Risk for EDs
Using this approach, an ED reported declines in the rate of patients who leave without seeing clinicians, along with shorter median arrival-to-provider and length of stay times.
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Trauma Patients at Risk for Developing Opioid Use Disorder
Better identification and referral of patients with opioid use disorder could enhance the quality and continuity of care these patients receive, while also reducing reliance on EDs and the crowding that ensues.