High-stakes diagnostic decision rules for serious disorders: The Ottawa subarachnoid hemorrhage rule

JAMA

Volumn 310, Issue 12, 2013, Pages 1237-1239

  Newman Toker, David E ^a   Edlow, Jonathan A ^b,c  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BRAIN HEMORRHAGE; BRAIN ISCHEMIA; COMPUTER ASSISTED TOMOGRAPHY; DELAYED DIAGNOSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC ERROR; DIAGNOSTIC TEST; EARLY DIAGNOSIS; EDITORIAL; EMERGENCY WARD; HEADACHE; HIGH RISK POPULATION; HUMAN; LOW RISK POPULATION; LUMBAR PUNCTURE; MEDICAL DECISION MAKING; MENTAL HEALTH; OTTAWA SUBARACHNOID HEMORRHAGE RULE; PRETEST POSTTEST DESIGN; PRIORITY JOURNAL; SUBARACHNOID HEMORRHAGE;

EID: 84884598869     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2013.278019     Document Type: Editorial

References (20)

1. Newman-Toker DE, Makary MA. Measuring diagnostic errors in primary care: the first step on a path forward: comment on "Types and origins of diagnostic errors in primary care settings." JAMA Intern Med. 2013;173(6):425-426.
2. Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38(3):261-271.
3. Newman-Toker DE, Robinson KA, Edlow JA. Frontline misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a systematic review. Ann Neurol. 2008;64(suppl 12):S17-S18.
4. Kowalski RG, Claassen J, Kreiter KT, et al. Initial misdiagnosis and outcome after subarachnoid hemorrhage. JAMA. 2004;291(7):866-869. (Pubitemid 38543775)
5. Tarnutzer AA, Berkowitz AL, Robinson KA, Hsieh YH, Newman-Toker DE. Does my dizzy patient have a stroke? a systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ. 2011;183(9):571-592.
6. Edlow JA, Caplan LR. Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage. N Engl J Med. 2000;342(1):29-36. (Pubitemid 30020658)
7. Edlow JA. Diagnosis of subarachnoid hemorrhage: are we doing better? Stroke. 2007;38(4):1129-1131. (Pubitemid 351664242)
8. Mark DG, Hung YY, Offerman SR, et al; Kaiser Permanente CREST Network Investigators. Nontraumatic subarachnoid hemorrhage in the setting of negative cranial computed tomography results: external validation of a clinical and imaging prediction rule. Ann Emerg Med. 2013;62(1):1-10; e1.
9. Vermeulen MJ, Schull MJ. Missed diagnosis of subarachnoid hemorrhage in the emergency department. Stroke. 2007;38(4):1216-1221. (Pubitemid 351664248)
10. Edlow JA, Panagos PD, Godwin SA, Thomas TL, Decker WW; American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache. Ann Emerg Med. 2008;52(4):407-436.
11. Perry JJ, Spacek A, Forbes M, et al. Is the combination of negative computed tomography result and negative lumbar puncture result sufficient to rule out subarachnoid hemorrhage? Ann Emerg Med. 2008;51(6):707-713.
12. Perry JJ, Stiell IG, Sivilotti MLA, et al. Clinical decision rules to rule out subarachnoid hemorrhage for acute headache. JAMA. 2013;310(12). doi:10.1001/jama.2013.278018.
13. Pines JM, Szyld D. Risk tolerance for the exclusion of potentially life-threatening diseases in the ED. Am J Emerg Med. 2007;25(5):540-544. (Pubitemid 46818848)
14. Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med. 1999;49(5):651-661. (Pubitemid 29314682)
15. Duarte J, Sempere AP, Delgado JA, Naranjo G, Sevillano MD, Clavería LE. Headache of recent onset in adults: a prospective population-based study. Acta Neurol Scand. 1996;94(1):67-70. (Pubitemid 26276203)
16. Perry JJ, Sharma M, Sivilotti ML, et al. Prospective validation of the ABCD2 score for patients in the emergency department with transient ischemic attack. CMAJ. 2011;183(10):1137-1145.
17. Pines JM, Isserman JA, Szyld D, Dean AJ, McCusker CM, Hollander JE. The effect of physician risk tolerance and the presence of an observation unit on decision making for ED patients with chest pain. Am J Emerg Med. 2010;28(7):771-779.
18. Ward MJ, Bonomo JB, Adeoye O, Raja AS, Pines JM. Cost-effectiveness of diagnostic strategies for evaluation of suspected subarachnoid hemorrhage in the emergency department. Acad Emerg Med. 2012;19(10):1134-1144.
19. Newman-Toker DE, McDonald KM, Meltzer DO. A perspective on the economics of diagnosis - how much diagnostic safety can we afford... and how should we decide? BMJ Qual Saf. 2013;22:ii11-ii20.
20. Goodacre S. Safe discharge: an irrational, unhelpful and unachievable concept. Emerg Med J. 2006;23(10):753-755.