title: Accuracy of diagnosis and relationship with quality of emergency medicine training program.
abstract: An indicator for emergency room performance is the ability to establish the correct diagnosis within the emergency room over the years. The authors chose to examine the non-congruence of Emergency Room diagnoses to that established after hospital stay for three selected years. A total of 8488 records were reviewed and all disparate diagnosis were recorded and categorized. Retrospective chart reviews were done from July 2008 to February 2009 at the Aga Khan University Hospital, Karachi. A substantial reduction in the percentage of disparate diagnoses was seen over the years from 41% in the initial year to 14% in the last year evaluated. It was concluded that over the years there has been an improvement in the reliability of Emergency Room diagnoses at the Aga Khan University Hospital, Karachi.
authors.affiliation: Department of Emergency Medicine, The Aga Khan University Hospital, Karachi. muhammad.shahid@aku.edu
authors.forename: Muhammad
authors.initials: M
authors.lastname: Shahid
authors.forename: Kamran
authors.initials: K
authors.lastname: Hameed
authors.forename: Romaina
authors.initials: R
authors.lastname: Iqbal
authors.forename: Osama
authors.initials: O
authors.lastname: Afzal
authors.forename: Rooham
authors.initials: R
authors.lastname: Nakeer
authors.forename: Junaid
authors.initials: J
authors.lastname: Razzak
mesh_terms: D002983:Clinical Competence; D003933:Diagnosis; D003951:Diagnostic Errors / Q000706:statistics & numerical data*; D004503:Education, Medical, Graduate / Q000592:standards / Q000639:trends; D004635:Emergency Medicine / Q000193:education*; D004636:Emergency Service, Hospital / Q000592:standards / Q000639:trends; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D010154:Pakistan; D036301:Qualitative Research; D011785:Quality Assurance, Health Care; D058996:Quality Improvement; D012189:Retrospective Studies