Value of Autopsies in the Study of Diagnostic Errors in Respiratory Medicine

2019 ◽  
Vol 70 (3) ◽  
pp. 1037-1039
Author(s):  
Diana Veronica Turcu ◽  
Adina Magdalena Turcanu ◽  
Cristina Grigorescu ◽  
Alexandru Patrascu ◽  
Irina Chiselita ◽  
...  
Keyword(s):  
Respiratory Diseases ◽  
Diagnostic Errors ◽  
Global Scale ◽  
Respiratory Medicine ◽  
Post Mortem ◽  
Clinical Diagnostic ◽  
Autopsy Report

Diagnostic errors are real and are causing harm to patients on a global scale. However, the methods for measuring diagnostic errors are underdeveloped. One very important tool in this regard is the use of autopsies, in order to point out the cases where the actual affliction was missed and to quantify the incidence of such mistakes. We have carried out a study to compare the clinical diagnostic with the post mortem autopsy report in 119 patients who have died at the Pulmonology Hospital in Iasi, Romania, between January 2nd 2016 and January 2nd 2017. The purpose of this research is to determine the incidence of diagnostic errors and to identify the most missed or overlooked respiratory diseases.

scholarly journals Launch of an Open Access peer-reviewed journal on the treatment of respiratory diseases with integrated traditional Chinese and Western medicine

2020 ◽  
Vol 1 ◽  
pp. E1
Author(s):  
Xianmei Zhou
Keyword(s):  
Open Access ◽  
Western Medicine ◽  
Respiratory Diseases ◽  
Open Access Journal ◽  
Diagnostic Methods ◽  
Respiratory Medicine ◽  
Editorial Team ◽  
Comprehensive Treatment ◽  
Wide Readership ◽  
Medical Disciplines

We launch “Integrative Respiratory Medicine (IRM)” a new peer-reviewed Open Access journal treating the progress in diagnostic methods as well as comprehensive treatment of integrated traditional Chinese and Western medicine on respiratory diseases. The editorial team believes that IRM will receive a wide readership and soon become a recognized source of innovative and exciting papers in the integrative respiratory medical disciplines.

Glossary

2021 ◽  
pp. 609-620
Author(s):  
Terry Robinson ◽  
Jane Scullion
Keyword(s):  
Respiratory Diseases ◽  
Medical Professional ◽  
Respiratory Medicine ◽  
Main Text ◽  
Systematic Description

This chapter provides an alphabetical glossary of terms used in respiratory medicine, which are comprehensively covered in this second edition of the Oxford Handbook of Respiratory Nursing. These include subjects such as altitude and its effect of the lungs, to angina, antigens, anoxia, and apnoea; breathlessness, bronchiolitis, and bronchospasm; through to vasodilation, ventilation, and vesicular sounds. While the main text covers these subjects comprehensively with systematic description of the main respiratory diseases found in adults, this glossary is an at-a-glance guide to the terms a medical professional will need to know, particularly when discussing and meeting the needs of respiratory patients.

scholarly journals Each day is a new beginning

2017 ◽  
Vol 12 ◽  
Author(s):  
Francesco Blasi ◽  
Claudio M. Sanguinetti
Keyword(s):  
Respiratory Diseases ◽  
Scientific Field ◽  
Respiratory Medicine ◽  
New Beginning ◽  
Major Player

Multidisciplinary Respiratory Medicine (MRM) is changing, as new Editors-in Chief we are pleased to introduce the new MRM to our readers and authors. MRM history dates back to 2006, still a young Journal but with the aim to become a major player in the scientific field of respiratory diseases [...]

scholarly journals Problems of general practice in the materials of the XXVIII National congress on respiratory diseases(October 16-19, 2018, Moscow)

2018 ◽  
Vol 22 (4) ◽  
pp. 49-52
Author(s):  
Nurlan N. Brimkulov ◽  
Andrey S. Belevsky
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
General Practitioners ◽  
Respiratory Diseases ◽  
Respiratory Medicine ◽  
School Problems ◽  
National Congress ◽  
The Relationship

The article highlights the problems of the relationship between the general practitioners and specialists-pulmonologists, which were discussed in the framework of the XXVIII National Congress on Respiratory Diseases, held in Moscow on October 16–19, 2018. Outlines the main provisions of the reports of the School “Problems of pulmonology in the work of the general practitioner”, highlights the activities of the Association of Russian-speaking specialists in respiratory medicine (ARSRM), focused on the development of pulmonology in general practice.

Further Trial of Clinical Diagnostic Index for the Malignancy Diagnosis of Mammary Nodules.

1975 ◽  
Vol 61 (1) ◽  
pp. 5-16 ◽  
Author(s):  
Sergio Di Pietro ◽  
Alberto Re
Keyword(s):  
Early Diagnosis ◽  
Mammary Carcinoma ◽  
Clinical Investigation ◽  
Diagnostic Errors ◽  
False Negatives ◽  
Negative Results ◽  
Clinical Diagnostic ◽  
Benign Nodules ◽  
Diagnostic Index

The results of a further trial of a clinical diagnostic index (CDI) for ill-defined mammary nodules, based on the algebrical results of positive numerical values (for a suspect feature), or negative numerical values (for non suspect feature), attributed to 10 characteristic semeiological features, previously described, are reported. 222 nodules were clinically examined, all subsequently subjected to mammography and 188 of them to ther-mograpy; they were then operated and examined histologically. Of 106 malignant nodules the accuracy of the CDI was 88.6 % with 4.7 % false negatives; for mammography 65 % with 21.7 % false negatives; for termography (out of 87 cases) 66.6 with 23 % false negatives. The accuracy in 116 benign nodules was 45.6 % for the CDI, 32.7 % for mammography and 29.7 % for termography (out of 101 cases). In three cases of malignant nodules in women below 35 years of age, all three examinations gave negative results. The relations between the diagnostic errors of the three examinations, as well as the dimensions and histo-type of the nodules are also considered. It may be concluded, that the CDI is a simple rapid and highly accurate clinical investigation for early diagnosis of mammary carcinoma.

scholarly journals Diagnostic accuracy of respiratory diseases in primary health units

2014 ◽  
Vol 60 (6) ◽  
pp. 599-612 ◽  
Author(s):  
Bruno Piassi de São José ◽  
Paulo Augusto Moreira Camargos ◽  
Álvaro Augusto Souza da Cruz Filho ◽  
Ricardo de Amorim Corrêa
Keyword(s):  
Diagnostic Accuracy ◽  
General Practitioners ◽  
Respiratory Diseases ◽  
Respiratory Infections ◽  
Diagnostic Errors ◽  
Chronic Obstructive ◽  
World Population ◽  
Diagnostic Ability ◽  
Obstructive Pulmonary Disease ◽  
Primary Health

Respiratory diseases are responsible for about a fifth of all deaths worldwide and its prevalence reaches 15% of the world population. Primary health care (PHC) is the gateway to the health system, and is expected to resolve up to 85% of health problems in general. Moreover, little is known about the diagnostic ability of general practitioners (GPs) in relation to respiratory diseases in PHC. This review aims to evaluate the diagnostic ability of GPs working in PHC in relation to more prevalent respiratory diseases, such as acute respiratory infections (ARI), tuberculosis, asthma and chronic obstructive pulmonary disease (COPD). 3,913 articles were selected, totaling 30 after application of the inclusion and exclusion criteria. They demonstrated the lack of consistent evidence on the accuracy of diagnoses of respiratory diseases by general practitioners. In relation to asthma and COPD, studies have shown diagnostic errors leading to overdiagnosis or underdiagnosis depending on the methodology used. The lack of precision for the diagnosis of asthma varied from 54% underdiagnosis to 34% overdiagnosis, whereas for COPD this ranged from 81% for underdiagnosis to 86.1% for overdiagnosis. For ARI, it was found that the inclusion of a complementary test for diagnosis led to an improvement in diagnostic accuracy. Studies show a low level of knowledge about tuberculosis on the part of general practitioners. According to this review, PHC represented by the GP needs to improve its ability for the diagnosis and management of this group of patients constituting one of its main demands.

scholarly journals Causes of Death and Clinical Diagnostic Errors in Extreme Aged Hospitalized People: A Retrospective Clinical-Necropsy Survey

1999 ◽  
Vol 54 (11) ◽  
pp. M554-M559 ◽  
Author(s):  
P. Bordin ◽  
P. G. Da Col ◽  
P. Peruzzo ◽  
G. Stanta ◽  
J. M. Guralnik ◽  
...  
Keyword(s):  
Causes Of Death ◽  
Diagnostic Errors ◽  
Clinical Diagnostic

scholarly journals Autopsy and premortem diagnostic discrepancy review in an Irish tertiary PICU.

2021 ◽  
Author(s):  
Mark O'Rahelly ◽  
Michael McDermott ◽  
Martina Healy
Keyword(s):  
Diagnostic Errors ◽  
Class I ◽  
Post Mortem ◽  
Class Iii ◽  
Class V ◽  
Autopsy Data ◽  
Discrepancy Rate ◽  
Error Classification ◽  
Post Cardiac Surgery

Abstract Objective: 1) Review ante- and post-mortem diagnoses and assign a Goldman error classification. 2) Establish autopsy rates. Design: A retrospective analysis of autopsies performed on patients who died in Paediatric intensive care unit (PICU) between November 13th 2012 and October 31st 2018. We reviewed medical and autopsy data of all patients and Goldman classification of discrepancy between ante- and post-mortem diagnoses was assigned. Setting: Tertiary PICU. Patients: All patients that died in PICU within the designated timeframe. Interventions: Goldman error classification assignment. Measurements and main results: 396 deaths occurred in PICU from 8,329 (4.75%) admissions. 99 (25%) had an autopsy, 75 required by the coroner. All were included in the study. Fifty-three were male and 46 females. Fifty-three patients were transfers from external hospitals, 46 from our centre. Forty-one were neonates, 32 were <1 year of age, and 26 were >1 year of age. Median length of stay was 3 days. Eighteen were post cardiac surgery, and three post cardiac catheter procedure. Major diagnostic errors (Class I/II) were identified in 14 (14.1%), 2 (2%) Class I, and 12 (12.1%) were Class II errors. Class III and IV errors occurred in 28 (28.2%) patients. Complete concordance (Class V) occurred in 57 (57.5%) cases. Conclusion: The autopsy rate and the diagnostic discrepancy rate within our PICU is comparable to those previously reported. Our findings show the continuing value of autopsy in determining cause of death and providing greater diagnostic clarity. Given their value, post-mortem examinations, where indicated, should be considered part of a physician’s duty of care to families and future patients.

scholarly journals Implementation of Smoking Cessation Services in Respiratory Medicine

2007 ◽  
Vol 2 (1) ◽  
pp. 1-4
Author(s):  
Carlos A. Jiménez-Ruiz ◽  
Juan José Ruiz Martín ◽  
Ana Cicero Guerrero ◽  
Juan Antonio Riesco Miranda ◽  
Jenaro Astray Mochales ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Health Professionals ◽  
Respiratory Diseases ◽  
Treatment Strategies ◽  
Educational Programs ◽  
Respiratory Medicine ◽  
Respiratory Disorders ◽  
Nicotine Dependency ◽  
Smoking Cessation Services ◽  
New Treatment

AbstractSmoking is a leading cause of respiratory disorders. Smoking cessation is crucial for improving and even for curing many respiratory diseases. Smokers with respiratory diseases can suffer from comorbidities and a higher degree of nicotine dependency than ‘healthy smokers’. For this reason, smoking cessation services (SCS) should be an integral part of a chest unit. The SCS must be run by professionals with expertise and must be well-equipped. They should provide cessation support for all patients who smoke, and educational programs for health professionals. They also have a role in investigation of new treatment strategies.

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