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Miles to go before we sleep: Does increasing abdominal computed tomography utilization really improve patient-oriented outcomes? 睡前还有很长的路要走提高腹部计算机断层扫描的使用率真的能改善以患者为导向的治疗效果吗?
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-11-01 DOI: 10.1111/acem.15042
Joshua Seth Broder
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引用次数: 0
Management of race, ethnicity, and language data in the pediatric emergency department. 儿科急诊室的种族、民族和语言数据管理。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-05-29 DOI: 10.1111/acem.14947
Colleen K Gutman, Emily A Hartford, Sasha Gifford, Vanessa Ford, Kamali Bouvay, Michelle L Pickett, Theresa T Tran, Neh D Molyneaux Slade, Mary Jane Piroutek, Sunhee Chung, Britta Roach, Mark Hincapie, Jennifer A Hoffmann, Karen Lin, Hannah Kotler, Christian Pulcini, Jerri A Rose, Kelly R Bergmann, Tabitha Cheng, Ryan St Pierre Hetz, Xinyu Yan, Xiang Yang Lou, Rosemarie Fernandez, Paul L Aronson, K Casey Lion
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引用次数: 0
Predicting adverse cardiovascular events in emergency department patients with bupropion overdose. 预测急诊科安非他明过量患者的不良心血管事件。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-06-11 DOI: 10.1111/acem.14960
Michael D Simpson, Sharan Campleman, Jeffrey Brent, Paul Wax, Alex F Manini

Objectives: Bupropion toxicity can lead to adverse cardiovascular events (ACVE), but delayed onset of toxicity makes risk stratification difficult. This study aimed to validate previously defined predictors of ACVE and identify novel predictors among patients presenting to the emergency department (ED) after bupropion overdose.

Methods: This secondary analysis of prospective data from the Toxicology Investigators Consortium Core Registry analyzed adult acute or acute-on-chronic bupropion exposures from 2015 to 2018. The primary outcome was ACVE (any of the following: myocardial injury, shock, ventricular dysrhythmia, or cardiac arrest). Potential predictors of ACVE included previously derived predictors in the overall drug overdose population (prior cardiac disease, initial serum bicarbonate < 20 mEq/L, and initial QTc ≥ 500 ms), exposure circumstances, and initial serum lactate value. Candidate predictors were evaluated using univariate analysis and multivariable regression modeling. Receiver operator characteristic curves were used to derive optimal cutoff points for novel predictors, and prognostic test characteristics were calculated.

Results: Of 355 patients analyzed, ACVE occurred in 34 (9.6%) patients. Initial serum bicarbonate < 20 mEq/L (adjusted odds ratio [aOR] 4.42, 95% confidence interval [CI] 1.94-10.0) and initial QTc ≥ 500 ms (aOR 2.52, 95% CI 1.01-6.09) independently predicted ACVE. Exposure circumstances did not predict ACVE. Initial serum lactate > 5.2 mmol/L independently predicted ACVE (aOR 12.2, 95% CI 2.50-75.2) and was 90.7% specific with 80.3% negative predictive value.

Conclusions: Metabolic acidosis and QTc prolongation were validated as predictors of ACVE in ED patients with bupropion overdose. Serum lactate elevation was strongly predictive of ACVE in this study and warrants further investigation.

目的:安非他酮毒性可导致不良心血管事件(ACVE),但毒性的延迟发生使风险分层变得困难。本研究旨在验证之前定义的 ACVE 预测因子,并在服用安非他酮过量后到急诊科(ED)就诊的患者中找出新的预测因子:该研究对毒理学研究者联盟核心注册中心的前瞻性数据进行了二次分析,分析了2015年至2018年成人急性或急性安非他酮暴露情况。主要结果是ACVE(以下任何一种:心肌损伤、休克、室性心律失常或心脏骤停)。ACVE 的潜在预测因素包括之前在总体药物过量人群中得出的预测因素(既往心脏病、初始血清碳酸氢盐结果):在分析的 355 例患者中,有 34 例(9.6%)发生了 ACVE。初始血清碳酸氢盐 5.2 mmol/L 可独立预测 ACVE(aOR 12.2,95% CI 2.50-75.2),特异性为 90.7%,阴性预测值为 80.3%:结论:代谢性酸中毒和QTc延长作为安非他明过量的急诊患者ACVE的预测指标已得到验证。在本研究中,血清乳酸升高可强烈预测 ACVE,值得进一步研究。
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引用次数: 0
Precision emergency medicine. 精准急诊医学。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-11-01 Epub Date: 2024-06-28 DOI: 10.1111/acem.14962
Matthew Strehlow, Al'ai Alvarez, Andra L Blomkalns, Holly Caretta-Wyer, Laleh Gharahbaghian, Daniel Imler, Ayesha Khan, Moon Lee, Viveta Lobo, Jennifer A Newberry, Ryan Ribeira, Stefanie S Sebok-Syer, Sam Shen, Michael A Gisondi

Background: Precision health is a burgeoning scientific discipline that aims to incorporate individual variability in biological, behavioral, and social factors to develop personalized health solutions. To date, emergency medicine has not deeply engaged in the precision health movement. However, rapid advances in health technology, data science, and medical informatics offer new opportunities for emergency medicine to realize the promises of precision health.

Methods: In this article, we conceptualize precision emergency medicine as an emerging paradigm and identify key drivers of its implementation into current and future clinical practice. We acknowledge important obstacles to the specialty-wide adoption of precision emergency medicine and offer solutions that conceive a successful path forward.

Results: Precision emergency medicine is defined as the use of information and technology to deliver acute care effectively, efficiently, and authentically to individual patients and their communities. Key drivers and opportunities include leveraging human data, capitalizing on technology and digital tools, providing deliberate access to care, advancing population health, and reimagining provider education and roles. Overcoming challenges in equity, privacy, and cost is essential for success. We close with a call to action to proactively incorporate precision health into the clinical practice of emergency medicine, the training of future emergency physicians, and the research agenda of the specialty.

Conclusions: Precision emergency medicine leverages new technology and data-driven artificial intelligence to advance diagnostic testing, individualize patient care plans and therapeutics, and strategically refine the convergence of the health system and the community.

背景:精准医疗是一门新兴的科学学科,旨在结合生物、行为和社会因素中的个体差异,制定个性化的医疗解决方案。迄今为止,急诊医学尚未深入参与精准健康运动。然而,医疗技术、数据科学和医学信息学的快速发展为急诊医学实现精准医疗的承诺提供了新的机遇:在本文中,我们将精准急诊医学概念化为一种新兴模式,并确定了将其应用于当前和未来临床实践的关键驱动因素。我们承认精准急诊医学在整个专科范围内应用的重要障碍,并提供了设想成功前进道路的解决方案:精准急诊医学的定义是利用信息和技术,有效、高效、真实地为患者及其社区提供急诊服务。关键的驱动力和机遇包括利用人类数据、利用技术和数字工具、提供审慎的医疗服务、促进人口健康以及重新规划医疗服务提供者的教育和角色。克服公平、隐私和成本方面的挑战是成功的关键。最后,我们呼吁采取行动,积极将精准医疗纳入急诊医学的临床实践、未来急诊医师的培训以及该专业的研究议程中:精准急诊医学利用新技术和数据驱动的人工智能来推进诊断检测、个性化患者护理计划和治疗方法,并从战略上完善医疗系统与社区的融合。
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引用次数: 0
Communication barriers to optimal access to emergency rooms according to deaf and hard-of-hearing patients and health care workers: A mixed-methods study. 聋人和听力障碍患者及医护人员在使用急诊室时遇到的沟通障碍:混合方法研究。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-10-31 DOI: 10.1111/acem.15037
Carolina Tannenbaum-Baruchi, Paula Feder-Bubis, Limor Aharonson-Daniel

Background: This study aimed to identify communication barriers between health care workers (HCWs) and deaf and hard-of-hearing (DHH) patients. Both perspectives are offered to provide a comprehensive understanding.

Methods: Two consecutive studies were conducted from 2018 to 2021. Study 1 comprised mixed methods, employing a cross-sectional survey (n = 288) and in-depth interviews (n = 9) with DHH participants, utilizing accessible tools including sign language. Study 2 involved a cross-sectional survey of health care emergency workers without hearing loss (N = 391).

Results: The perceived self-efficacy of DHH patients, and not their hearing loss, was linked with their ability to communicate independently with HCWs. No significant differences in successful communication with these providers were found vis-à-vis mode of communication utilized (sign language, writing, interpreter, etc.). In the qualitative findings, DHH patients noted two urgent care barriers: HCWs' communication unfamiliarity and patients' communication accessibility issues. Quantitative findings indicated a main barrier: difficulties in communicating with HCWs in general (57%) and specifically in the emergency room (ER; 65%). Only 28.8% reported being able to independently communicate with ER staff. Health care providers were not familiar with effective communication strategies when treating these patients. Respondents indicating that communication was not a barrier to care were mainly administrative staff (54.55%), compared to nurses (32.74%) and physicians (22.58%).

Conclusions: Communication solutions are needed to improve access to health services, especially in emergencies. Providing medical staff training on effective communication strategies with these patients could simplify interactions and reduce the reliance on hearing family members, potentially improving medical care. Implementing a communication policy for frontline staff, along with the use of visual aids, is crucial. Health care professionals may not realize that small changes can greatly improve communication with DHH patients.

背景:本研究旨在确定医护人员(HCWs)与失聪和重听(DHH)患者之间的沟通障碍。提供了两种视角,以提供全面的理解:从 2018 年到 2021 年连续进行了两项研究。研究 1 包括混合方法,采用横断面调查(n = 288)和深度访谈(n = 9),利用包括手语在内的无障碍工具对 DHH 参与者进行访谈。研究 2 对没有听力损失的医疗急救人员进行了横断面调查(样本数=391):结果:听力障碍患者的自我效能感(而非听力损失)与他们独立与医护人员沟通的能力有关。在与这些医疗服务提供者成功沟通的过程中,没有发现使用的沟通模式(手语、书写、翻译等)有明显差异。在定性研究结果中,DHH 患者指出了两个紧急护理障碍:医护人员不熟悉沟通方式,以及患者的沟通障碍。定量研究结果表明了一个主要障碍:在一般情况下(57%),特别是在急诊室(ER;65%),与医护人员沟通有困难。只有 28.8% 的人表示能够独立与急诊室工作人员沟通。医护人员在治疗这些患者时不熟悉有效的沟通策略。表示沟通不是医疗障碍的受访者主要是行政人员(54.55%),相比之下,护士(32.74%)和医生(22.58%)的比例较低:要改善医疗服务的可及性,尤其是在紧急情况下,就需要解决沟通问题。为医务人员提供与这些患者有效沟通策略的培训可简化互动,减少对听力受损家庭成员的依赖,从而改善医疗服务。对一线员工实施沟通政策并使用视觉辅助工具至关重要。医护人员可能没有意识到,小小的改变就能大大改善与 DHH 患者的沟通。
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引用次数: 0
23 minutes-Reflecting on a Sunday morning tennis game turned into a life-saving ordeal. 23 分钟--反思一场周日上午的网球赛变成了一场拯救生命的磨难。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-10-27 DOI: 10.1111/acem.15039
Sohil Pothiawala, Amila Punyadasa, Kenneth Heng, Rabind Charles, Christopher Wong
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引用次数: 0
"Showing up to the conversation": Qualitative reflections from a diversity, equity, and inclusion book club with emergency medicine leadership. "参加对话":来自急诊医学领导层的多样性、公平性和包容性读书会的定性思考。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-10-21 DOI: 10.1111/acem.15034
Andreia B Alexander, Megan Palmer, Dajanae Palmer, Katie Pettit

Background: Diversity, equity, and inclusion (DEI) in health care fosters many positive outcomes including improved patient care. DEI initiatives are often created by or require buy-in from departmental leaders with low DEI literacy. Book clubs are one way to develop DEI literacy. The purpose of this paper is to describe how leaders in the department of emergency medicine (DEM) process the information gained from reading a DEI book through discussion in a book club setting and explore how participation enhances their DEI literacy and fosters self-reflection.

Methods: This was a qualitative exploratory study based on a constructivist approach. Data were analyzed by four researchers using inductive thematic analysis techniques.

Results: Sixty-eight leaders within the DEM participated in 11 book clubs. Nine themes were identified (examination of privilege, initial reaction to discussion about racism, discomfort, worry, self-reflection, release, role recognition, readiness, and education). After prompted examination of their own privilege participants moved through a model of perceived readiness to act. Participants started with feeling paralyzed by the work's enormity or becoming defensive. They then moved toward discomfort with discussions of racism and systemic racism and progressed to discussions around worrying that they were contributing to noninclusive environments. After a period of self-reflection, participants tended to release their paralysis, push aside their defensiveness, accept the role of discomfort, and express the importance of education on these issues. Participants then recognized their role in creating inclusive environments and started discussing what they can do about it, which, for many, was to show up to the conversation. An underlying driver of movement through this model was the education that was provided through the book.

Conclusions: By addressing privilege and systemic inequities through the reflective practice and dialogue of a book club, participants demonstrated a growing commitment and perceived readiness to advancing inclusive practices within medicine.

背景:医疗保健领域的多样性、公平性和包容性(DEI)可带来许多积极成果,包括改善患者护理。多样性、公平和包容(DEI)倡议通常由多样性、公平和包容素养较低的部门领导制定,或需要他们的支持。读书会是培养发展性教育素养的一种方式。本文旨在描述急诊医学科(DEM)的领导者是如何通过读书俱乐部的讨论来处理从阅读 DEI 书籍中获得的信息的,并探讨参与读书俱乐部是如何提高他们的 DEI 素养和促进自我反思的:这是一项基于建构主义方法的定性探索性研究。四名研究人员使用归纳式主题分析技术对数据进行了分析:68 名 DEM 领导参加了 11 次读书会。共确定了九个主题(审视特权、对种族主义讨论的最初反应、不适、担忧、自我反思、释放、角色认知、准备和教育)。在促使参与者审视自己的特权之后,他们通过一个感知准备行动的模型进行了思考。首先,参与者会因工作的艰巨性而感到麻痹或产生防卫心理。然后,他们开始对种族主义和系统性种族主义的讨论感到不适,进而担心自己会造成非包容性环境。经过一段时间的自我反思之后,参与者们逐渐摆脱了瘫痪状态,抛开了防卫心理,接受了不适的角色,并表达了在这些问题上开展教育的重要性。然后,与会者认识到自己在创建全纳环境中的作用,并开始讨论他们能做些什么,对许多人来说,这就是参加对话。通过这种模式开展活动的根本动力是通过这本书提供的教育:通过读书会的反思性实践和对话来解决特权和系统性不平等问题,参与者表现出了对在医学界推进包容性实践的日益增长的承诺和明显的意愿。
{"title":"\"Showing up to the conversation\": Qualitative reflections from a diversity, equity, and inclusion book club with emergency medicine leadership.","authors":"Andreia B Alexander, Megan Palmer, Dajanae Palmer, Katie Pettit","doi":"10.1111/acem.15034","DOIUrl":"https://doi.org/10.1111/acem.15034","url":null,"abstract":"<p><strong>Background: </strong>Diversity, equity, and inclusion (DEI) in health care fosters many positive outcomes including improved patient care. DEI initiatives are often created by or require buy-in from departmental leaders with low DEI literacy. Book clubs are one way to develop DEI literacy. The purpose of this paper is to describe how leaders in the department of emergency medicine (DEM) process the information gained from reading a DEI book through discussion in a book club setting and explore how participation enhances their DEI literacy and fosters self-reflection.</p><p><strong>Methods: </strong>This was a qualitative exploratory study based on a constructivist approach. Data were analyzed by four researchers using inductive thematic analysis techniques.</p><p><strong>Results: </strong>Sixty-eight leaders within the DEM participated in 11 book clubs. Nine themes were identified (examination of privilege, initial reaction to discussion about racism, discomfort, worry, self-reflection, release, role recognition, readiness, and education). After prompted examination of their own privilege participants moved through a model of perceived readiness to act. Participants started with feeling paralyzed by the work's enormity or becoming defensive. They then moved toward discomfort with discussions of racism and systemic racism and progressed to discussions around worrying that they were contributing to noninclusive environments. After a period of self-reflection, participants tended to release their paralysis, push aside their defensiveness, accept the role of discomfort, and express the importance of education on these issues. Participants then recognized their role in creating inclusive environments and started discussing what they can do about it, which, for many, was to show up to the conversation. An underlying driver of movement through this model was the education that was provided through the book.</p><p><strong>Conclusions: </strong>By addressing privilege and systemic inequities through the reflective practice and dialogue of a book club, participants demonstrated a growing commitment and perceived readiness to advancing inclusive practices within medicine.</p>","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic reasoning and cognitive error in emergency medicine: Implications for teaching and learning. 急诊医学中的诊断推理和认知错误:对教学的影响。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-10-21 DOI: 10.1111/acem.14968
Thierry Pelaccia, Jonathan Sherbino, Peter Wyer, Geoff Norman

Background: Accurate diagnosis in emergency medicine (EM) is high stakes and challenging. Research into physicians' clinical reasoning has been ongoing since the late 1970s. The dual-process theory has established itself as a valid model, including in EM. It is based on the distinction between two information-processing systems. System 1 rapidly generates one or more diagnostic hypotheses almost instantaneously, driven by experiential knowledge, while System 2 proceeds more slowly and analytically, applying formal rules to arrive at a final diagnosis.

Methods: We reviewed the literature on dual-process theory in the fields of cognitive science, medical education and emergency medicine.

Results and conclusion: The literature reflects two prominent interpretations regarding the relationship between the fast and slow phases and these interpretations carry very different implications for the training of clinical learners. One interpretation, prominent in the EM community, presents it as a "check-and-balance" framework in which most diagnostic error is caused by cognitive biases originating within System 1. As a result, EM residents are frequently advised to deploy analytical (System 2) strategies to correct such biases. However, such teaching approaches are not supported by research into the nature of diagnostic reasoning. An alternative interpretation assumes a harmonious relationship between Systems 1 and 2 in which both fast and slow processes are driven by underlying knowledge that conditions performance and the occurrence of errors. Educational strategies corresponding to this alternative have not been explored in the EM literature. In this paper, we offer proposals for improving the teaching and learning of diagnostic reasoning by EM residents.

背景:在急诊医学(EM)中,准确诊断具有高度风险性和挑战性。自 20 世纪 70 年代末以来,有关医生临床推理的研究一直在进行。双过程理论已成为一种有效的模式,包括在急诊医学中。该理论基于两个信息处理系统之间的区别。系统 1 在经验知识的驱动下,几乎在瞬间快速生成一个或多个诊断假设,而系统 2 则以较缓慢的方式进行分析,应用正式规则得出最终诊断:我们查阅了认知科学、医学教育和急诊医学领域有关双重过程理论的文献:文献反映了对快慢阶段之间关系的两种主要解释,这些解释对临床学习者的培训有着截然不同的影响。其中一种解释在急诊医学界十分突出,它将其视为一个 "制衡 "框架,其中大部分诊断错误都是由系统 1 中的认知偏差造成的。因此,人们经常建议急诊科住院医生采用分析(系统 2)策略来纠正这些偏差。然而,对诊断推理本质的研究并不支持这种教学方法。另一种解释认为,系统 1 和系统 2 之间存在一种和谐关系,在这种关系中,快速和缓慢的过程都是由潜在的知识驱动的,而这些知识则是影响表现和错误发生的条件。在电磁学文献中,还没有探讨过与这一替代方案相对应的教育策略。在本文中,我们将为改善急诊科住院医师诊断推理的教学和学习提出建议。
{"title":"Diagnostic reasoning and cognitive error in emergency medicine: Implications for teaching and learning.","authors":"Thierry Pelaccia, Jonathan Sherbino, Peter Wyer, Geoff Norman","doi":"10.1111/acem.14968","DOIUrl":"https://doi.org/10.1111/acem.14968","url":null,"abstract":"<p><strong>Background: </strong>Accurate diagnosis in emergency medicine (EM) is high stakes and challenging. Research into physicians' clinical reasoning has been ongoing since the late 1970s. The dual-process theory has established itself as a valid model, including in EM. It is based on the distinction between two information-processing systems. System 1 rapidly generates one or more diagnostic hypotheses almost instantaneously, driven by experiential knowledge, while System 2 proceeds more slowly and analytically, applying formal rules to arrive at a final diagnosis.</p><p><strong>Methods: </strong>We reviewed the literature on dual-process theory in the fields of cognitive science, medical education and emergency medicine.</p><p><strong>Results and conclusion: </strong>The literature reflects two prominent interpretations regarding the relationship between the fast and slow phases and these interpretations carry very different implications for the training of clinical learners. One interpretation, prominent in the EM community, presents it as a \"check-and-balance\" framework in which most diagnostic error is caused by cognitive biases originating within System 1. As a result, EM residents are frequently advised to deploy analytical (System 2) strategies to correct such biases. However, such teaching approaches are not supported by research into the nature of diagnostic reasoning. An alternative interpretation assumes a harmonious relationship between Systems 1 and 2 in which both fast and slow processes are driven by underlying knowledge that conditions performance and the occurrence of errors. Educational strategies corresponding to this alternative have not been explored in the EM literature. In this paper, we offer proposals for improving the teaching and learning of diagnostic reasoning by EM residents.</p>","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the efficacy of the appendicitis inflammatory response score in pregnant patients. 评估阑尾炎炎症反应评分对孕妇的疗效。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-10-20 DOI: 10.1111/acem.15035
Wei-Zhen Tang, Hao-Wen Chen, Tai-Hang Liu
{"title":"Assessing the efficacy of the appendicitis inflammatory response score in pregnant patients.","authors":"Wei-Zhen Tang, Hao-Wen Chen, Tai-Hang Liu","doi":"10.1111/acem.15035","DOIUrl":"https://doi.org/10.1111/acem.15035","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From diagnostic errors to diagnostic excellence in emergency care: Time to flip the script. 从诊断错误到卓越的急诊护理诊断:是时候翻转剧本了。
IF 3.4 3区 医学 Q1 EMERGENCY MEDICINE Pub Date : 2024-10-20 DOI: 10.1111/acem.15033
Prashant Mahajan
{"title":"From diagnostic errors to diagnostic excellence in emergency care: Time to flip the script.","authors":"Prashant Mahajan","doi":"10.1111/acem.15033","DOIUrl":"https://doi.org/10.1111/acem.15033","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Academic Emergency Medicine
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