Development of a rubric for assessing delayed diagnosis of appendicitis, diabetic ketoacidosis and sepsis.

ABSTRACT:

Objectives

Using case review to determine whether a patient experienced a delayed diagnosis is challenging. Measurement would be more accurate if case reviewers had access to multi-expert consensus on grading the likelihood of delayed diagnosis. Our objective was to use expert consensus to create a guide for objectively grading the likelihood of delayed diagnosis of appendicitis, new-onset diabetic ketoacidosis (DKA), and sepsis.

Methods

Case vignettes were constructed for each condition. In each vignette, a patient has the condition and had a previous emergency department (ED) visit within 7 days. Condition-specific multi-specialty expert Delphi panels reviewed the case vignettes and graded the likelihood of a delayed diagnosis on a five-point scale. Delayed diagnosis was d

SUBMITTER: Michelson KA 

PROVIDER: S-EPMC7759568 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature