Improving the interpretation of electrocardiographs in an accident and emergency department.
In this study we have examined the ability of senior house officers in the Accident and Emergency (A & E) Department to interpret electrocardiographs (ECGs) and tested the value of a single seminar and guidelines on interpretation.
We prospectively audited ECG interpretation taken from notes over a two-month period and repeated this audit following a single seminar by a consultant cardiologist and after the issue of guidelines.
A formal test of interpretation of a set of 20 ECGs by senior house officers in A & E was also carried out. 245 case notes were reviewed and in one third the ECG was interpreted incorrectly by senior house officers in A & E but incorrect clinical management followed in only 3.2% of cases.
Following the intervention, 242 case notes were reviewed and serious misinterpretations were halved as was the number of patients mismanaged as a result (1.7%). In conclusion, formal training in ECG interpretation can reduce serious errors.
Mots-clés Pascal : Electrocardiographie, Electrodiagnostic, Interprétation, Enquête, Angleterre, Grande Bretagne, Royaume Uni, Europe, Homme, Résultat, Formation professionnelle
Mots-clés Pascal anglais : Electrocardiography, Electrodiagnosis, Interpretation, Inquiry, England, Great Britain, United Kingdom, Europe, Human, Result, Occupational training
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0248057
Code Inist : 002B24D01. Création : 01/03/1996.