A new study shows that one in five ...

A new study shows that one in five deaths that occurr in a medical intensive care unit (MICU) were misdiagnosed, according to a Feb 15 2001 recently made knowns release from the American society of Chest Physicians. Correct diagnosis would have accrueed in different treatment in approximately one-half of these cases.

During a two-year period, researchers reviewed approximately 1800 records of patients admitted to the MICU at the Cleveland Clinic Foundation, Cleveland. Their goal was two-fold First, researchers assessed the accuracy of the clinical diagnosis compared to postmortem findings. other they assessed whether premortem knowledge of autopsy findings would have altered patient management.

Of the 1800 patients admitted to the MICU, 401 died. Physicians performed autopsies upon 91 (22.7%) of these patients, and 18 (198%) of them were place to have a differing clinical and postmortem diagnoses. Researchers classified diagnostic errors as class I (ie, major misdiagnosis with direct impact upon therapy) and class II (ie, major unexpect finding that probably would not have changed therapy).

Eight of the 18 misdiagnosis were considered class I; the remaining 10 were considered class II. Misdiagnoses were confirmed according to gross and microscopic examination or microbiological agriculture during postmortem study.

The number of autopsies performed, single of the most reliable orderly dispositions of validating clinical diagnoses, has been declining, according to the release. In the 1940 the rate of autopsies was approximately 50%; however, by way of the 1990s, this rate had decreased to between 10% and 15% In light of these facts, the 227% autopsy rate in the research is higher than the general national rate. Reasons for the decline in autopsy rates include

* that autopsies are splendid and not reimbursable,

* litigations fears of hospital administrators, and

* technological advances in diagnostic accuracy that make more [i]or[/i] less feel autopsies are unnecessary.

Advances in technology have not diminished the value of autopsies, however, as proven by way of the 44.4% of cases in this close attention where knowledge of correct diagnosis would have altered therapy.

Autopsies Reveal That undivided Death in Five in the Medical Intensive Care Unit is Misdiagnosed (new release, Northbrook, III; American guild of Chest Physicians, Feb 15 2001) 1-3

Answer Sheet

UTERINE ARTERY EMBOLIZATION

Please fill revealed the application and answer form forward this page and the evaluation form onward the back of this page. Tear the page abroad of the Journal or make photocopies and mail to:

AORN Customer Service c/o dwelling Study Program 2170 S Parker Rd Suite 300 Denver CO 80231-5711

Or fax with credit card information to (303) 750-3212

A score of 70% correct is required for credit.

incident # 01050 Session # 6372 Contact hours: 3 Fee: Members $15; Nonmembers $30

Program giveed April 2001.

The deadline for this program is April 30 2004

1 Record your identification number in the appropriate section below.

2 Completely darken the space that indicates your answer to the examination starting with question one

3 Record the time required to entire the program --

4 circumscribe fee if information is mailed.

AORN (ID) # --

Name --

Address --

City --

State -- Zip --

RN license # --

State --

Phone number ( ) --

unconditional tenure enclosed -- or bill the credit card indicated

[] MasterCard [] Visa [] American Express

Card # --

Expiration date --

Signature -- (for credit card authorization)

[ILLUSTRATION OMITTED]

Learner Evaluation

UTERINE ARTERY EMBOLIZATION

The following evaluation is used to determine the volume to which this Home close attention Program met your learning needinesss Rate the following items upon a scale of 1 to 5

[ILLUSTRATION OMITTED]

OBJECTIVES

To what reach were the following objectives of this family circle Study Program achieved?

(1) Discuss fibroid tumors of the uterus.

(2) Describe the treatment of uterine fibroids.

(3) Describe the perioperative care of the patient undergoing uterine artery embolization.

PURPOSE/GOAL

To educate the perioperative feed at the breast about uterine artery embolization.

CONTENT

(4) Did this article increase your knowledge of the expose matter?

(5) Was the satisfaction clear and organized?

(6) Did this article facilitate learning?

(7) Were your individual objectives met?

(8) by what means well did the objectives relate to the overall purpose/goal?

example QUESTIONS/ANSWERS

(9) Were they reflective of the content?

(10) Were they easy to understand?

(11) Did they address important points?

What other topics would you like to behold addressed in a future domicile Study Program? Would you be interested or do you know someone who would be interested in writing an article in succession this topic?

Topic(s): --

Author names and addresses: --

COPYRIGHT 2001 Association of Operating swing Nurses, Inc.

COPYRIGHT 2001 Gale Group