10.1016/j.humpath.2018.02.025

10.1016/j.humpath.2018.02.025 Human Pathology (2018) 76,85–90 www.elsevier.com/locate/humpath Original contribution Autopsy-detected diagnostic errors over time in ☆,☆☆ the intensive care unit a, b b Eva E. Tejerina MD, PhD , Rebeca Padilla MD , Elena Abril MD , a c c Fernando Frutos-Vivar MD , Aida Ballen MD , José María Rodríguez-Barbero MD , a a José ÁngelLorente MD,PhD , Andrés Esteban MD, PhD Intensive Care Unit, Hospital Universitario de Getafe & Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28905 Getafe, Madrid, Spain Intensive Care Unit, Hospital Universitario de Getafe, 28905 Getafe, Madrid, Spain Department of Pathology, Hospital Universitario de Getafe, 28905 Getafe, Madrid, Spain Received 1 February 2018; revised 18 February 2018; accepted 19 February 2018 Keywords: Summary We evaluate the evolution over time of discrepancies between clinical diagnoses and postmortem Autopsy diagnosis; findings in critically ill patients and assess the factors associated with these discrepancies. We conducted a Premortem diagnosis; prospective study of all consecutive patients who underwent autopsy in a medical-surgical intensive care Diagnostic discrepancies; unit (ICU) between January 2008 and December 2015. Among 7655 patients admitted to our ICU, 671 Intensive care; (8.8%) died. Clinical autopsy was performed in 215 (32%) patients. Major missed diagnoses http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

10.1016/j.humpath.2018.02.025

Elsevier — Jun 11, 2020

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Elsevier

Abstract

Human Pathology (2018) 76,85–90 www.elsevier.com/locate/humpath Original contribution Autopsy-detected diagnostic errors over time in ☆,☆☆ the intensive care unit a, b b Eva E. Tejerina MD, PhD , Rebeca Padilla MD , Elena Abril MD , a c c Fernando Frutos-Vivar MD , Aida Ballen MD , José María Rodríguez-Barbero MD , a a José ÁngelLorente MD,PhD , Andrés Esteban MD, PhD Intensive Care Unit, Hospital Universitario de Getafe & Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28905 Getafe, Madrid, Spain Intensive Care Unit, Hospital Universitario de Getafe, 28905 Getafe, Madrid, Spain Department of Pathology, Hospital Universitario de Getafe, 28905 Getafe, Madrid, Spain Received 1 February 2018; revised 18 February 2018; accepted 19 February 2018 Keywords: Summary We evaluate the evolution over time of discrepancies between clinical diagnoses and postmortem Autopsy diagnosis; findings in critically ill patients and assess the factors associated with these discrepancies. We conducted a Premortem diagnosis; prospective study of all consecutive patients who underwent autopsy in a medical-surgical intensive care Diagnostic discrepancies; unit (ICU) between January 2008 and December 2015. Among 7655 patients admitted to our ICU, 671 Intensive care; (8.8%) died. Clinical autopsy was performed in 215 (32%) patients. Major missed diagnoses

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