误诊严重程度评分与医生对诊断错误严重程度的认知
The misdiagnosis severity score and doctors' perception of the severity of diagnostic errors.
作者信息
Guly H R
机构信息
Accident and Emergency Department, Derriford Hospital, Plymouth.
出版信息
J Accid Emerg Med. 1997 Sep;14(5):293-4. doi: 10.1136/emj.14.5.293.
OBJECTIVE
To test the previously described misdiagnosis severity score (MSS) by comparing it with doctors' perceptions of the severity of diagnostic errors.
METHODS
14 scenarios of diagnostic errors were described on a questionnaire. These were given to 12 accident and emergency (A&E) consultants who were asked to indicate their assessment of the severity of the errors on a scale of 1 to 10.
RESULTS
There was a highly significant concordance between doctors' rankings of the diagnostic errors, and between the MSS and the mean severity as assessed by the A&E consultants.
CONCLUSIONS
It is reasonable to use the MSS as a measure of the severity of diagnostic errors.
目的
通过将先前描述的误诊严重程度评分（MSS）与医生对诊断错误严重程度的认知进行比较，来测试该评分。
方法
在一份问卷上描述了14个诊断错误的场景。将这些问卷发给12位急诊（A&E）顾问医生，要求他们在1至10的量表上表明对错误严重程度的评估。
结果
医生对诊断错误的排名之间，以及MSS与急诊顾问医生评估的平均严重程度之间存在高度显著的一致性。
结论
使用MSS作为诊断错误严重程度的衡量标准是合理的。
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