Kobek Mariusz, Chowaniec Czesław, Nowak Agnieszka, Chowaniec Małgorzata
Z Katedry i Zakładu Medycyny Sadowej i Toksykologii Sadowo-Lekarskiej Slaskiego Uniwersytetu Medycznego w Katowicach.
Arch Med Sadowej Kryminol. 2008 Apr-Sep;58(2-3):73-9.
Among all investigations aiming at assessing medical management carried out in our department between 2000 and 2006, the cases of "chest pain" constituted the largest percentage. In 70% of such cases, the employed medical procedures were found to be incorrect; what might be qualified as medical decisive errors, committed in rescue ambulances, outpatient clinics or in admission rooms. The authors present some examples of causes of such incorrect management strategies, such as neglecting proper and profound clinical examination (with medical history taking); lack or incomplete differential diagnosis; failure to observe appropriate critical attitude and prudence; focusing only on one, most common disease.
在我们科室2000年至2006年期间进行的所有旨在评估医疗管理的调查中,“胸痛”病例占比最大。在这类病例中,70%被发现所采用的医疗程序不正确;这些错误可被视为医疗决策失误,发生在急救救护车、门诊或住院部。作者列举了一些导致这种错误管理策略的原因,比如忽视适当而深入的临床检查(包括病史采集);缺乏或不完整的鉴别诊断;未能秉持适当的批判性态度和谨慎;仅关注一种最常见的疾病。