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Revista Cubana de Medicina

versión impresa ISSN 0034-7523versión On-line ISSN 1561-302X

Resumen

ESPINOSA BRITO, Alfredo D et al. Clinical diagnoses in admission and in discharge of patients admitted to Internal Medicine, Geriatrics and Infection wards. Rev cubana med [online]. 2010, vol.49, n.2. ISSN 0034-7523.

The assumption that there is a coincidence between the initial diagnosis at admission and the definite at discharge reflects a high quality in fulfillment of this essential step of clinical method. Results from two series of patients admitted in Internal Medicine, Geriatrics and infectiuos diseases departments were reviewed to specify exactly the factors associated with such correspondence. Authors verified the total coincidence in more than the two third of cases with high percentages in younger, which had a minor stage and those admitted in the medical duty times. Emphasized are the higher values for the respiratory and infectious diseases and lower for fewer accurate diagnoses including anemias, ill-defined symptoms and signs and for those admitted in Geriatrics department. We took into account on the diagnostic error and the importance of these results for patients and the organization of hospital care.

Palabras clave : Diagnosis; diagnostic error; admitted patients; admission-discharge.

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