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Scholar Results 1 - 10 of about 43 citing Goldman: Triage of patients with acute chest pain and possible cardiac ischemia: the elusive.... (0.08 sec) 

Translating clinical research into clinical practice: impact of using prediction rules …

- annals.org [PDF] 
BM Reilly, AT Evans - Annals of internal medicine, 2006 - Am Coll Physicians
Clinical prediction rules, sometimes called clinical decision rules, have proliferated in recent
years. However, very few have under- gone formal impact analysis, the standard of evidence
to assess their impact on patient care. Without impact analysis, clinicians cannot know ...
Cited by 101 - Related articles - BL Direct - All 9 versions

The risk of missed diagnosis of acute myocardial infarction associated with …

- medvarsity.com [PDF] 
MJ Schull, MJ Vermeulen, TA Stukel - Annals of emergency medicine, 2006 - Elsevier
We linked the records of all acute myocardial infarction patients admitted to an Ontario hospital
in 2002 to 2003 to their ED visit records in the 7 days preceding admission. Acute myocardial
infarctions were defined as missed if the diagnosis on the previous visit matched a list of ...
Cited by 32 - Related articles - All 8 versions

Missed and delayed diagnoses in the emergency department: a study of closed …

- hghed.com [PDF] 
A Kachalia, TK Gandhi, AL Puopolo, C Yoon, EJ … - Annals of emergency …, 2007 - Elsevier
A total of 79 claims (65%) involved missed ED diagnoses that harmed patients. Forty-eight percent
of these missed diagnoses were associated with serious harm, and 39% resulted in death. The
leading breakdowns in the diagnostic process were failure to order an appropriate ...
Cited by 21 - Related articles - All 22 versions

Chest Pain in the Emergency Department: Role of Multidetector CT1


CS White, D Kuo - Radiology, 2007 - radiology.rsna.org
The development of newer generations of multidetector computed tomographic (CT) scanners
capable of enabling accurate assessment of the coronary arteries in conjunction with the increasing
placement of CT scanners near the emergency department has raised interest in using ...
Cited by 18 - Related articles - BL Direct - All 5 versions

Acute coronary syndromes


SW Smith, W Whitwam - Emergency medicine clinics of North America, 2006 - Elsevier
Despite technologic advances in many diagnostic fields, the 12-lead ECG remains the basis
for early identification and management of an acute coronary syndrome (ACS). Complete occlusion
of coronary arteries (>90%) alters the epicardial surface electrical potentials and usually ...
Cited by 16 - Related articles - All 3 versions

Missed opportunities in the primary care management of early acute ischemic heart …

- ptsafetyresearch.org [PDF] 
TD Sequist, R Marshall, S Lampert, EJ … - Archives of Internal …, 2006 - Am Med Assoc
Methods We conducted a case-control study of patients with no history of heart disease in a multisite
group practice. Cases ("missed opportunities") were outpatients evaluated by primary care clinicians
for chest pain or other anginal equivalents within 30 days of hospitalization for acute ...
Cited by 14 - Related articles - BL Direct - All 6 versions

A simple statistical model for prediction of acute coronary syndrome in chest pain …


J Björk, JL Forberg, M Ohlsson, L … - … and Decision Making, 2006 - biomedcentral.com
Several models for prediction of acute coronary syndrome (ACS) among chest pain patients
in the emergency department (ED) have been presented, but many models predict only the likelihood
of acute myocardial infarction, or include a large number of variables, which make them ...
Cited by 9 - Related articles - Cached - All 8 versions

[PDF] Is ambulatory patient safety just like hospital safety, only without the" stat"?


RM Wachter - Annals of Internal Medicine, 2006 - Am Coll Physicians
When I was a resident in internal medicine 2 decades ago, we spent virtually all of our time in
the hospital and very little of it in the ambulatory setting. This structure reflected the traditions
of medical residency training, the relative importance that chairs of medicine and the ...
Cited by 7 - Related articles - BL Direct - All 3 versions

The diagnostic value of troponin T testing in the community setting


D Planer, D Leibowitz, O Paltiel, R Boukhobza, C … - International journal of …, 2006 - Elsevier
Consecutive subjects with chest pain were recruited from 44 community clinics in Jerusalem.
Following clinical assessment by the family physician, qualitative troponin kit testing was
performed. Patients with a negative clinical assessment and negative troponin kit were ...
Cited by 3 - Related articles - BL Direct - All 9 versions

The accuracy of general practitioners' clinical assessment of chest pain patients


S Nilsson, K Örtoft, S Mölstad - European Journal of General …, 2008 - informahealthcare.com
Objective: To study general practitioners' (GP) assessment of the probability of ischaemic heart
disease (IHD) and GP action in daily practice regarding chest pain patients. Methods: All chest
pain patients aged 20–79 years, attending three primary health-care centres in south-east ...
Cited by 3 - Related articles - All 4 versions


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