Meier Ninna, Pedersen Kirstine Zinck, Andresen Linda Camilla, Andersen Ove
Department of Sociology and Social Work, Aalborg University, 9220 Aalborg, Denmark.
Department of Organization, Copenhagen Business School, 2000 Frederiksberg, Denmark.
Healthcare (Basel). 2024 Oct 10;12(20):2014. doi: 10.3390/healthcare12202014.
In this opinion, we offer a new perspective on the important and persistent problem of diagnostic errors for patients with non-specific complaints (NSCs). As an increasing number of complex patients present clinicians with challenging diagnostic work in the time-pressured and high-volume contexts of EDs, we need to improve how clinicians and healthcare organizations can understand and perform safe diagnostics for patients with NSCs. The combination of a growing number of patients with NSCs and the ways in which clinicians use the categories 'non-specific complaints' and 'non-specific diagnosis' in diagnostic work in emergency departments presents a growing patient safety concern especially for older patients with multimorbidity that require the integration of clinical and organizational research. We argue why the growing numbers of patients with NSCs and clinicians' use of these categories have implications for patient safety both within and beyond the acute care context. We end by pointing to the importance of an interdisciplinary patient safety research agenda, ideally followed by the development of targeted usable protocols for older multimorbid patients with non-specific complaints.
在本观点文章中，我们针对非特异性主诉（NSC）患者诊断错误这一重要且长期存在的问题提供了新的视角。随着越来越多病情复杂的患者在急诊科时间紧迫且工作量大的情况下给临床医生带来具有挑战性的诊断工作，我们需要改进临床医生和医疗保健机构对NSC患者进行安全诊断的方式。NSC患者数量的增加以及临床医生在急诊科诊断工作中使用“非特异性主诉”和“非特异性诊断”类别，这一情况引发了越来越多的患者安全问题，对于患有多种疾病的老年患者而言尤为如此，他们需要临床研究与组织研究相结合。我们阐述了为何NSC患者数量的增加以及临床医生对这些类别的使用在急性护理环境内外均对患者安全产生影响。最后，我们指出跨学科患者安全研究议程的重要性，理想情况下，随后应针对患有多种疾病的老年NSC患者制定有针对性的实用方案。
