危重症患者的诊断错误：一个被隐藏的流行疾病？

Diagnostic Error in the Critically Ill: A Hidden Epidemic?

机构信息

Department of Critical Care, Gundersen Lutheran Medical Center, 1900 South Avenue, Mail Stop LM3-001, La Crosse, WI 54601, USA; Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Department of Critical Care Medicine, Geisinger Medical Center, 100 N Academy Avenue, Danville, PA 17822, USA; Geisinger Commonwealth School of Medicine, Scranton, PA, USA.

出版信息

Crit Care Clin. 2022 Jan;38(1):11-25. doi: 10.1016/j.ccc.2021.09.005.

DOI:10.1016/j.ccc.2021.09.005

PMID:34794625

Abstract

Epidemiologic studies of diagnostic error in the intensive care unit (ICU) consist mostly of descriptive autopsy series. In these studies, rates of diagnostic errors are approximately 5% to 10%. Recently validated methods for retrospectively measuring error have expanded our understanding of the scope of the problem. These alternative measurement strategies have yielded similar estimates for the frequency of diagnostic error in the ICU. Although there is a fair understanding of the frequency of errors, further research is needed to better define the risk factors for diagnostic error in the ICU.

摘要

在重症监护病房（ICU）中，诊断错误的流行病学研究主要由描述性尸检系列组成。在这些研究中，诊断错误的发生率约为 5%至 10%。最近验证的回顾性测量错误的方法扩展了我们对问题范围的理解。这些替代测量策略对 ICU 中诊断错误的频率产生了类似的估计。尽管我们对错误的频率有了相当的了解，但仍需要进一步研究以更好地确定 ICU 中诊断错误的危险因素。