An operational model for malpractice claims interventions

Karcz, Anita; Korn, Robert

doi:10.1002/jhrm.5600160404

Cited by 1 publication

(1 citation statement)

References 11 publications

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“…It is well known great problems of the chest pain syndrome: 1) A chest pain syndrome spreading worldwide [1][2][3] 2) Dozens of various diseases of different systems, accompanied by acute chest pain [4][5] 3) Numerous diagnostic errors, in particular, in cardiology, and especially fatal errors at acute myocardial infarction (AMI) [6][7][8][9][10][11][12][13][14] 4) Superfluous examinations during a process of diagnostics [15][16][17][18] 5) High cost of reliable diagnosis [19][20][21][22] 6) Short time of differential diagnostics that frequently should be carried out in extreme conditions and at the limited methodical arsenal 23 Last years 1500 CPC were established in the USA [24][25][26] . A concentration of the best professionals and methodological sources in large CPC is an effective idea.…”

Section: Introductionmentioning

confidence: 99%

Differential diagnostic algorithm for diseases manifested by chest pain syndrome

Naumov¹

2010

IJC

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Background A chest pain stipulates great clinical, methodological, economic, social, psychological problems. There are dozens diseases of various organs manifested by chest pain. Diagnostic errors happen often. Suggested Differential Diagnostic Algorithm (DDA) is a certain universal intellectual tool, which could facilitate the chest pain problems solving. Objective The Chest Pain (CP) DDA creation for effective differential diagnostics of diseases accompanied with chest pain for use primarily in a polyclinic, ambulance, ED. Methods Presented here new CP DDA is developed by the author for the chest pain syndrome as the original intellectual method of clinical thinking based on the problem-oriented algorithmic approach. Results The retrospective posthumous study of 127 case records of patients who died of a fatal heart attack was performed too. The errors of the retrospective algorithmic diagnoses based on the symptoms/signs written down in 127 case records were in ~4 times less, than at the collective posthumous clinical diagnosis, in 6,3 times less errors than lifetime diagnoses in cardiological clinics, and ~9 times less than antemortem diagnoses in the admission department. The main result is the new chest pain DDA presentation. Conclusions By means of presented DDA every physician and medical student can diagnose successfully of 48 diseases manifested by chest pain.

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Section: Introductionmentioning

confidence: 99%

Differential diagnostic algorithm for diseases manifested by chest pain syndrome

Naumov¹

2010

IJC

View full text Add to dashboard Cite

show abstract

An operational model for malpractice claims interventions

Cited by 1 publication

References 11 publications

Differential diagnostic algorithm for diseases manifested by chest pain syndrome

Differential diagnostic algorithm for diseases manifested by chest pain syndrome

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