Key PointsQuestionOf emergency department visits attributable to imminent ruptured abdominal aortic aneurysm, acute myocardial infarction, stroke, aortic dissection, and subarachnoid hemorrhage, what proportions end in discharge home without diagnosis? FindingsIn this cohort study of Medicare claims, the proportion of missed opportunities to diagnose these conditions in the emergency department ranged from 2.3% (ruptured abdominal aortic aneurysm) to 4.5% (aortic dissection). We found no evidence for improvement across the 2007 to 2014 study time frame. MeaningAmong Medicare patients, opportunities to diagnose these conditions in the emergency department are missed infrequently, but further improvement may prove difficult.
JAMA Internal Medicine – American Medical Association
Published: Apr 26, 2018
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