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Missed high-risk ECGs were associated with lower AMI therapy rates; leaves open whether ECG review interventions improve care in prospective studies.
Identifying acute myocardial ischemia in the emergency department is essential for providing prompt and appropriate medical therapy. These authors evaluated the frequency with which ED providers at five hospitals missed electrocardiogram evidence of acute myocardial infarction and the possible effects of missed findings on quality of care. The authors retrospectively reviewed the medical records of 1684 consecutive patients who presented to the EDs of five Kaiser Permanente–affiliated …
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Bair et al. (2006) studied this question.
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