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Influence of Time of Mission on Correct Diagnosis by the Prehospital Emergency Physician: A Retrospective Study

OBJECTIVES: The objective of this retrospective study was to examine the diagnostic matching (DM) between the prehospital diagnosis by the prehospital emergency physicians and the hospital discharge diagnosis, adjusted for time of mission. METHODS: Over a period of 12 months, all patient care report...

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Autores principales: Ramadanov, Nikolai, Klein, Roman, Ramadanova, Nevena, Behringer, Wilhelm
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466902/
https://www.ncbi.nlm.nih.gov/pubmed/31065385
http://dx.doi.org/10.1155/2019/3727081
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author Ramadanov, Nikolai
Klein, Roman
Ramadanova, Nevena
Behringer, Wilhelm
author_facet Ramadanov, Nikolai
Klein, Roman
Ramadanova, Nevena
Behringer, Wilhelm
author_sort Ramadanov, Nikolai
collection PubMed
description OBJECTIVES: The objective of this retrospective study was to examine the diagnostic matching (DM) between the prehospital diagnosis by the prehospital emergency physicians and the hospital discharge diagnosis, adjusted for time of mission. METHODS: Over a period of 12 months, all patient care reports of the emergency medical services in Bad Belzig were examined. By systematically comparing the prehospital suspected diagnosis to the discharge diagnosis, the DM was determined after careful examination of the entire course of each patient's case, blinded to time of mission. The results were tested for statistically significant results using the Chi-square test for nominal data and the Mann-Whitney U test for nonnormally distributed independent samples. RESULTS: The DM occurred in 52%, it occurred partially in 24%, and it did not occur in 24% of 580 included cases. The DM showed clear fluctuation over 24 hours, with the worst results at 4 and 5 a.m. and the best results at 6 a.m. and 3 p.m. CONCLUSIONS: The DM appears to depend directly on the time of mission. Decreased performance and concentration at night might be a cause for incorrect diagnoses by prehospital emergency physician in the early morning hours. Future studies need to investigate the effect of different shift planning on performance.
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spelling pubmed-64669022019-05-07 Influence of Time of Mission on Correct Diagnosis by the Prehospital Emergency Physician: A Retrospective Study Ramadanov, Nikolai Klein, Roman Ramadanova, Nevena Behringer, Wilhelm Emerg Med Int Research Article OBJECTIVES: The objective of this retrospective study was to examine the diagnostic matching (DM) between the prehospital diagnosis by the prehospital emergency physicians and the hospital discharge diagnosis, adjusted for time of mission. METHODS: Over a period of 12 months, all patient care reports of the emergency medical services in Bad Belzig were examined. By systematically comparing the prehospital suspected diagnosis to the discharge diagnosis, the DM was determined after careful examination of the entire course of each patient's case, blinded to time of mission. The results were tested for statistically significant results using the Chi-square test for nominal data and the Mann-Whitney U test for nonnormally distributed independent samples. RESULTS: The DM occurred in 52%, it occurred partially in 24%, and it did not occur in 24% of 580 included cases. The DM showed clear fluctuation over 24 hours, with the worst results at 4 and 5 a.m. and the best results at 6 a.m. and 3 p.m. CONCLUSIONS: The DM appears to depend directly on the time of mission. Decreased performance and concentration at night might be a cause for incorrect diagnoses by prehospital emergency physician in the early morning hours. Future studies need to investigate the effect of different shift planning on performance. Hindawi 2019-04-02 /pmc/articles/PMC6466902/ /pubmed/31065385 http://dx.doi.org/10.1155/2019/3727081 Text en Copyright © 2019 Nikolai Ramadanov et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Ramadanov, Nikolai
Klein, Roman
Ramadanova, Nevena
Behringer, Wilhelm
Influence of Time of Mission on Correct Diagnosis by the Prehospital Emergency Physician: A Retrospective Study
title Influence of Time of Mission on Correct Diagnosis by the Prehospital Emergency Physician: A Retrospective Study
title_full Influence of Time of Mission on Correct Diagnosis by the Prehospital Emergency Physician: A Retrospective Study
title_fullStr Influence of Time of Mission on Correct Diagnosis by the Prehospital Emergency Physician: A Retrospective Study
title_full_unstemmed Influence of Time of Mission on Correct Diagnosis by the Prehospital Emergency Physician: A Retrospective Study
title_short Influence of Time of Mission on Correct Diagnosis by the Prehospital Emergency Physician: A Retrospective Study
title_sort influence of time of mission on correct diagnosis by the prehospital emergency physician: a retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466902/
https://www.ncbi.nlm.nih.gov/pubmed/31065385
http://dx.doi.org/10.1155/2019/3727081
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