E. Barinov, Andrey Barinov, S. Voyevodina, Sergey Dzhuvalyakov, I. Osipova, R. Kalinin, O. Romanova
{"title":"急诊医疗服务人员在病人住院期间的治疗和诊断失误","authors":"E. Barinov, Andrey Barinov, S. Voyevodina, Sergey Dzhuvalyakov, I. Osipova, R. Kalinin, O. Romanova","doi":"10.35630/2023/13/2.404","DOIUrl":null,"url":null,"abstract":"The aim of the study is to analyze treatment and diagnostic errors made by emergency medical services personnel during hospitalization of patients. Materials and Methods: The analysis was made based on 412 report sheets to run sheets, taken at one EMS substation for one month. The sample included only report sheets for orders carried out by EMS feldshers. Analyzed materials showed that 42 report sheets contain defects in filling out the documentation: for example, 3 of them did not indicate a referral diagnosis of the EMS team, and 39 – final diagnosis of the hospital, and, therefore, they cannot be included in the statistical data. Analysis of the remaining 370 report sheets showed that in 60 cases there was an overdiagnosis of the disease, and in 31 cases the diagnosis was incorrect. Conclusion: From the analyzed materials, it is possible to identify the main treatment and diagnostic errors in the work of the EMS in cases of patient hospitalization: Incorrect tactics of managing patients at the prehospital stage due to overestimation/underestimation of symptoms, non-core hospitalization or hospitalization in a non-core hospital due to overestimation/underestimation of symptoms; replacement of a nosological unit with its symptoms or complications.","PeriodicalId":51770,"journal":{"name":"Archiv EuroMedica","volume":" ","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"TREATMENT AND DIAGNOSTIC ERRORS MADE BY EMERGENCY MEDICAL SERVICES PERSONNEL DURING HOSPITALIZATION OF PATIENTS\",\"authors\":\"E. Barinov, Andrey Barinov, S. Voyevodina, Sergey Dzhuvalyakov, I. Osipova, R. Kalinin, O. Romanova\",\"doi\":\"10.35630/2023/13/2.404\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The aim of the study is to analyze treatment and diagnostic errors made by emergency medical services personnel during hospitalization of patients. Materials and Methods: The analysis was made based on 412 report sheets to run sheets, taken at one EMS substation for one month. The sample included only report sheets for orders carried out by EMS feldshers. Analyzed materials showed that 42 report sheets contain defects in filling out the documentation: for example, 3 of them did not indicate a referral diagnosis of the EMS team, and 39 – final diagnosis of the hospital, and, therefore, they cannot be included in the statistical data. Analysis of the remaining 370 report sheets showed that in 60 cases there was an overdiagnosis of the disease, and in 31 cases the diagnosis was incorrect. Conclusion: From the analyzed materials, it is possible to identify the main treatment and diagnostic errors in the work of the EMS in cases of patient hospitalization: Incorrect tactics of managing patients at the prehospital stage due to overestimation/underestimation of symptoms, non-core hospitalization or hospitalization in a non-core hospital due to overestimation/underestimation of symptoms; replacement of a nosological unit with its symptoms or complications.\",\"PeriodicalId\":51770,\"journal\":{\"name\":\"Archiv EuroMedica\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2023-05-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archiv EuroMedica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.35630/2023/13/2.404\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archiv EuroMedica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35630/2023/13/2.404","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
TREATMENT AND DIAGNOSTIC ERRORS MADE BY EMERGENCY MEDICAL SERVICES PERSONNEL DURING HOSPITALIZATION OF PATIENTS
The aim of the study is to analyze treatment and diagnostic errors made by emergency medical services personnel during hospitalization of patients. Materials and Methods: The analysis was made based on 412 report sheets to run sheets, taken at one EMS substation for one month. The sample included only report sheets for orders carried out by EMS feldshers. Analyzed materials showed that 42 report sheets contain defects in filling out the documentation: for example, 3 of them did not indicate a referral diagnosis of the EMS team, and 39 – final diagnosis of the hospital, and, therefore, they cannot be included in the statistical data. Analysis of the remaining 370 report sheets showed that in 60 cases there was an overdiagnosis of the disease, and in 31 cases the diagnosis was incorrect. Conclusion: From the analyzed materials, it is possible to identify the main treatment and diagnostic errors in the work of the EMS in cases of patient hospitalization: Incorrect tactics of managing patients at the prehospital stage due to overestimation/underestimation of symptoms, non-core hospitalization or hospitalization in a non-core hospital due to overestimation/underestimation of symptoms; replacement of a nosological unit with its symptoms or complications.
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