Diagnostic consistency between admission and discharge of pediatric cases in a tertiary teaching hospital in China.

ABSTRACT:

Background

Patient-centered, high-quality health care relies on accurate and timely diagnosis. Diagnosis is a complex, error-prone process. Prevention of errors involves understanding the cause of errors. This study investigated diagnostic discordance between admission and discharge in pediatric cases.

Methods

We retrospectively reviewed the electronic medical records of 5381 pediatric inpatients during 2017-2018 in a tertiary teaching hospital. We analyzed diagnostic consistency by comparing the first 4 digits of admission and discharge ICD-10 codes of the cases and classified them as concordant for "complete and partial match" or discordant for "no match".

Results

Diagnostic discordance was observed in 49.2% with the highest prevalence in infections of the nervous a

SUBMITTER: Zhang D 

PROVIDER: S-EPMC10105461 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature