title: [Systematic analysis of diagnostic errors in patients with myocardial infarction handled by the Swedish Health and Social Care Inspectorate​].
abstract: Systematic analysis of diagnostic errors in patients with myocardial infarction handled by the Swedish Health and Social Care Inspectorate​ Diagnostic errors in 51 patients with myocardial infarction handled by the Swedish Health and Social Care Inspectorate​ were analyzed. In more than half of the cases, the diagnostic errors occurred in health-care outside of hospitals. Diagnostic errors were more common when patients presented atypical symptoms, but atypical symptoms were equally common in male and female patients. Insufficient initial investigation, including lack of ECG registration, preceded a majority of the diagnostic errors. Wider indications for ECG and measurement of troponins in combination with increased awareness of atypical symptoms could possibly be remedies.
authors.affiliation: Inspektionen för vård och omsorg - Stockholm, Sweden Inspektionen för vård och omsorg - Stockholm, Sweden.
authors.forename: Thomas
authors.initials: T
authors.lastname: Fridén
authors.affiliation: Karolinska Institutet - Stockholm, Sweden Karolinska Institutet - Stockholm, Sweden.
authors.forename: Kevin
authors.initials: K
authors.lastname: Jangali
authors.affiliation: Skanes universitetssjukhus Malmo - Malmo, Sweden Skanes universitetssjukhus Malmo - Malmo, Sweden.
authors.forename: Jesper
authors.initials: J
authors.lastname: Persson
authors.affiliation: Karolinska Universitetssjukhuset - Gastrocentrum kirurgi Stockholm, Sweden Karolinska Universitetssjukhuset - Gastrocentrum Stockholm, Sweden.
authors.forename: Åke
authors.initials: Å
authors.lastname: Andrén-Sandberg
mesh_terms: D015331:Cohort Studies; D003951:Diagnostic Errors; D004562:Electrocardiography / Q000706:statistics & numerical data; D004636:Emergency Service, Hospital; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis*; D011320:Primary Health Care; D019114:Remote Consultation; D012189:Retrospective Studies; D013548:Sweden