Emergency physicians' acute coronary syndrome testing threshold and diagnostic performance: Acute coronary syndrome critical pathway with return visit feedback

Critical Pathways in Cardiology

Volumn 13, Issue 3, 2014, Pages 99-103

  Graff, Louis G ^a,b   Chern, Chii Hwa ^b,c   Radford, Martha ^d  

^a UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE   (United States)

^b NEW BRITAIN GENERAL HOSPITAL   (United States)

^c TAIPEI VETERANS GENERAL HOSPITAL   (Taiwan)

^d NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

ACS diagnosis; Failure to diagnose; Missed diagnosis; Testing threshold

Indexed keywords

ACUTE CORONARY SYNDROME; ACUTE HEART INFARCTION; ARTICLE; CLINICAL EVALUATION; EMERGENCY PHYSICIAN; EMERGENCY WARD; FEEDBACK SYSTEM; HEALTH SERVICE; HUMAN; MAJOR CLINICAL STUDY; PEER GROUP; PERFORMANCE; PHYSICIAN ASSISTANT; PRIORITY JOURNAL; TEACHING HOSPITAL; CLINICAL PATHWAY; DIAGNOSTIC ERROR; EMERGENCY HEALTH SERVICE; INTERDISCIPLINARY COMMUNICATION; MEDICAL INFORMATION SYSTEM; ORGANIZATION AND MANAGEMENT; PHYSICIAN; PREVENTION AND CONTROL; PROFESSIONAL PRACTICE; RETROSPECTIVE STUDY; STANDARDS; STATISTICS AND NUMERICAL DATA; SYMPTOM ASSESSMENT; TOTAL QUALITY MANAGEMENT; UNITED STATES;

ACUTE CORONARY SYNDROME; CRITICAL PATHWAYS; DIAGNOSTIC ERRORS; EMERGENCY SERVICE, HOSPITAL; HEALTH INFORMATION EXCHANGE; HUMANS; INTERDISCIPLINARY COMMUNICATION; PHYSICIANS; PROFESSIONAL PRACTICE; QUALITY IMPROVEMENT; RETROSPECTIVE STUDIES; SYMPTOM ASSESSMENT; UNITED STATES;

EID: 84905053978     PISSN: 1535282X     EISSN: 15352811     Source Type: Journal    
DOI: 10.1097/HPC.0000000000000021     Document Type: Article

References (19)

1. Graff LG, Dallara J, Ross MA, et al. Impact on the care of the emergency department chest pain patient from the chest pain evaluation registry (CHEPER) study. Am J Cardiol. 1997;80:563-568. (Pubitemid 27386139)
2. Lee TH, Rouan GW, Weisberg MC, et al. Clinical characteristics and natural history of patients with acute myocardial infarction sent home from the emergency room. Am J Cardiol. 1987;60:219-224. (Pubitemid 17133047)
3. Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342:1163-1170. (Pubitemid 30211047)
4. Karcz A, Holbrook J, Burke MC, et al. Massachusetts emergency medicine closed malpractice claims: 1988-1990. Ann Emerg Med. 1993;22:553-559. (Pubitemid 23077195)
5. Gibler WB, Lewis LM, Erb RE, et al. Early detection of acute myocardial infarction in patients presenting with chest pain and nondiagnostic ECGs: Serial CK-MB sampling in the emergency department. Ann Emerg Med. 1990;19:1359-1366.
6. Hedges JR, Young GP, Henkel GF, et al. Serial ECGs are less accurate than serial CK-MB results for emergency department diagnosis of myocardial infarction. Ann Emerg Med. 1992;21:1445-1450.
7. American College of Emergency Physicians. Clinical policy: Critical issues in the evaluation and management of adult patients presenting withsuspected acute myocardial infarction or unstable angina. Ann Emerg Med. 2000;35:521-544.
8. Graff L, Palmer AC, Lamonica P, et al. Triage of patients for a rapid (5-minute) electrocardiogram: A rule based on presenting chief complaints. Ann Emerg Med. 2000;36:554-560.
9. Ellerbeck EF, Jencks SF, Radford MJ, et al. Quality of care for Medicare patients with acute myocardial infarction. A four-state pilot study from the Cooperative Cardiovascular Project. JAMA. 1995;273:1509-1514.
10. Jencks SF, Cuerdon T, Burwen DR, et al. Quality of medical care delivered to Medicare beneficiaries: A profile at state and national levels. JAMA. 2000;284:1670-1676.
11. Jencks SF, Huff ED, Cuerdon T. Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. JAMA. 2003;289: 305-312. (Pubitemid 36083983)
12. UCLA Department of Statistics, Sample Size Calculator. Available at:http://calculators.stat.ucla.edu/powercalc/normal/n-1/n-1-samp.php. Accessed February 23, 2009.
13. Graff L, Prete M, Werdmann M, et al. Implementing emergency department observation units within a multihospital network. Jt Comm J Qual Improv. 2000;26:421-427.
14. Brieger D, Eagle KA, Goodman SG, et al.; GRACE Investigators. Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: Insights from the Global Registry of Acute Coronary Events. Chest. 2004;126:461-469. (Pubitemid 39093431)
15. Rusnak RA, Stair TO, Hansen K, et al. Litigation against the emergency physician: Common features in cases of missed myocardial infarction. Ann Emerg Med. 1989;18:1029-1034. (Pubitemid 19245793)
16. Katz DA , Williams GC, Brown RL, et al. Emergency physicians' fear of malpractice in evaluating patients with possible acute cardiac ischemia. Ann Emerg Med. 2005;46:525-533. (Pubitemid 41676750)
17. Pearson SD, Goldman L, Orav EJ, et al. Triage decisions for emergency department patients with chest pain: Do physicians risk attitudes make the difference? J Gen Int Med. 1995;10:557-564.
18. Selker HP, Beshansky JR, Griffith JL, et al. Use of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia. A multicenter, controlled clinical trial. Ann Intern Med. 1998;129:845-855. (Pubitemid 28549811)
19. Schull MJ, Vermeulen MJ, Stukel TA. The risk of missed diagnosis of acute myocardial infarction associated with emergency department volume. Ann Emerg Med. 2006;48:647-655. (Pubitemid 44738138)