Follow-up of discrepancies in x-ray and electrocardiogram interpretations, and positive laboratory results
This article describes the 1-year follow-up program implemented at Baystate Medical Center Emergency Department during 1999. Our previous system used staff who worked clinically, which led to prolonged delays in follow-up. Before initiating the program, 57% [95% confidence interval (CI): 55–59%] of...
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Published in | The Journal of emergency medicine Vol. 20; no. 3; pp. 315 - 319 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.04.2001
Elsevier |
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Abstract | This article describes the 1-year follow-up program implemented at Baystate Medical Center Emergency Department during 1999. Our previous system used staff who worked clinically, which led to prolonged delays in follow-up. Before initiating the program, 57% [95% confidence interval (CI): 55–59%] of all follow-up cases were done within 3 days. After program implementation, 69% (95% CI: 67–72%) of all follow-up cases were completed in the same time frame. We reduced our “delayed” follow-up cases from 20% (95% CI: 18–22%) to 4% (95% CI: 3–5%) of all cases. Critical to the new system is the assignment of nurse-physician pairing to do follow-up when they are not doing direct patient care. |
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AbstractList | This article describes the 1-year follow-up program implemented at Baystate Medical Center Emergency Department during 1999. Our previous system used staff who worked clinically, which led to prolonged delays in follow-up. Before initiating the program, 57% [95% confidence interval (CI): 55–59%] of all follow-up cases were done within 3 days. After program implementation, 69% (95% CI: 67–72%) of all follow-up cases were completed in the same time frame. We reduced our “delayed” follow-up cases from 20% (95% CI: 18–22%) to 4% (95% CI: 3–5%) of all cases. Critical to the new system is the assignment of nurse-physician pairing to do follow-up when they are not doing direct patient care. |
Author | Santoro, John P Blank, Fidela S.J Smithline, Howard |
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Keywords | discrepant interpretations follow-up program telephone follow-up quality assurance of EKG and X-ray readings Human Sanitary program Radiodiagnosis Malpractice Exploration Interpretation Prevention Radiography Electrodiagnosis Quality assurance Surveillance Follow up study Laboratory investigations Public health organization Error diagnostic Electrocardiography Hospital ward Emergency Public health |
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SubjectTerms | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Continuity of Patient Care - organization & administration discrepant interpretations Electrocardiography Emergency and intensive care: techniques, logistics Emergency Medicine Emergency Service, Hospital - organization & administration Emergency Service, Hospital - standards follow-up program Humans Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Massachusetts Medical sciences Patient Care Team quality assurance of EKG and X-ray readings Quality Assurance, Health Care Radiology Department, Hospital telephone follow-up X-Rays |
Title | Follow-up of discrepancies in x-ray and electrocardiogram interpretations, and positive laboratory results |
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