TY - T1的严重Misdiagnosis-Related危害由于错过了美国States-Incidence血管事件,设置,和原因(p4.3 - 047) JF -神经学乔-神经学六世- 92 - 15补充SP - p4.3 - 047 AU -阿里军刀德黑兰的非盟Najlla Nassery 首页AU -亚当·谢弗盟Chihwen Yu-Moe盟——格温多林克莱门斯盟Zheyu王盟- Mehdi Fanai盟Dana Siegal AU -大卫Newman-Toker Y1 - 2019/04/09 UR - //www.ez-admanager.com/content/92/15_supplement/p4.3 - 047. -抽象N2 -目的:我们试图估计malpractice-based比例和以人群为基础的错过了血管事件的发生率,并定义这些错误/原因最常见的设置。背景:错过了血管事件占一大部分严重的发病率和死亡率。以人群为基础的估计不足。设计/方法:横断面研究错过/延迟血管诊断。我们分析了医疗事故索赔在我们国家比较系统代表~ 30%索赔(CRICO策略2006 - 2015 (n = 55377)),并确定情况下由于血管诊断错误。每年我们每个血管疾病发生率是衡量使用医疗成本和利用项目的全国住院病人样本(2012 - 2014 [n = 21.5])。针对疾病的诊断错误和伤害率估计从文学。总misdiagnosis-related严重危害从血管事件(死亡或永久性残疾)外推到全民使用血管事件的归因分数医疗事故数据。个人疾病范围计算95%置信区间和概率的范围(PPR)总估计,使用蒙特卡罗模拟。设置/原因来自医疗事故索赔。结果:11592例诊断错误主张被确定(平均年龄49岁女性51.7%); 7,379 high-severity claims. Vascular events accounted for 22.8% of high-severity claims (n=1,684/7,379), 22.7% of incident diagnostic errors (533,817/2,351,356; PPR 298,363–667,314), and 17.9% of incident misdiagnosis-related harms (98,922/552,532; PPR 59,885–130,175). Settings were ambulatory clinics (34.3%), emergency departments (31.1%), and inpatient units (34.1%). Top contributing factors were clinical judgment (86%), communication (33%), and documentation (22%). Top vascular conditions (error rate; errors/year) included: stroke (8.7%; 82,832), venous thromboembolism (19.9%; 63,527), arterial thromboembolism (28.2%; 48,886), myocardial infarction (2.2%; 27,458), and aortic aneurysm/dissection (9.0%; 26,719). The top five accounted for 46.7% of vascular-event errors (249,422/533,817) and 79.8% of vascular-event harms (78,950/98,922).Conclusions: About 100,000 Americans die or are permanently disabled from missed vascular events annually. Five vascular diseases account for ~80% of serious misdiagnosis-related harms. Initial efforts to improve diagnosis should focus on these conditions.Disclosure: Dr. Saber Tehrani has nothing to disclose. Dr. Nassery has nothing to disclose. Dr. Schaffer has nothing to disclose. Dr. Yu-Moe has nothing to disclose. Dr. Clemens has nothing to disclose. Dr. Wang has nothing to disclose. Dr. Fanai has nothing to disclose. Dr. Siegal has nothing to disclose. Dr. Newman-Toker has nothing to disclose. ER -