Pocus作为新冠肺炎时代避免诊断错误的工具

Dharm Prakash Dwivedi, Muniza Bai, Abhishek Chauhan, V. Babu, Sneha Leo, Shahana M P
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引用次数: 0

摘要

x线翻转和错误标记是令人不安的常见现象,并且经常导致错误的一侧干预。侧错手术确实是人为错误中最引人注目和最明显的形式。直到1999年医学研究所的报告“犯错是人”,医学界基本上没有意识到这种可预防的医疗事故和侥幸脱险。我们在此描述了一个病例,x线翻转和错误标记导致COVID-19 ICU的错误侧干预。在新冠肺炎疫情下,医务人员在执业过程中不可避免地会出现主动失误,佩戴防护装备难以进行全面系统检查,工作时间长,工作压力大,情绪紧张,疲劳等因素与技术失误相互作用,增加了出现失误的几率。我们建议在COVID-19重症监护病房使用监护点超声(POCUS)来辅助诊断和管理。
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Pocus as a tool to avoid diagnostic errors in covid-19 era
X-ray flips and wrong labelling has been uncomfortably common, and often results in wrong side intervention. Wrong side surgery is indeed the most dramatic and visible form of human errors. Until the 1999 Institute of Medicine report ‘To Err is Human’, the medical fraternity was largely unaware of such preventable medical errors and near misses. We herein, describe a case where X-ray flip and mislabelling led to wrong side intervention in a COVID-19 ICU. Active errors in human performance are inevitable while practising medicine in the current COVID-19 pandemic where difficulties in performing comprehensive systemic examination with the protective gear on, long working hours, work stress, emotions, and fatigue interplay with the errors in technology and increase the chances of errors. We propose the use of point of care ultrasound (POCUS) in COVID-19 ICU’s to aid in the diagnosis and management.
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