كليدواژه :
Misdiagnosis , Clinical assessment , پزشكي , ارزيابي باليني , Autopsy , خطاي تشخيصي
چكيده لاتين :
True diagnosis is very important. Itʹs the base of treatment. Misdiagnosis is practical for health policy, health education and treatment specifically in pediatrics because of patients who canʹt say their problems and parents donʹt know more. It is an analytic cross-sectional study on 1090 patients. First and final clinical diagnosis, age, sex, chief compliant and autopsy (if there was) were collected. T-test, chi2, ANOVA and correlation coefficients were used in analysis. The most common chief compliants were fever, vomiting,diarrhea and cough, respectively. The most common diseases were respiratory, gastrointestinal and multisystem infections and nervous system diseases. Admission and discharge clinical diagnosis were correlated significantly (P<0.001, r-0.71). Final clinical diagnosis and autopsy results were correlated significantly, too(P<0.001, r-0.72). Despite improving new technology, misdiagnosis have not considerably decreased yet. Similarity of admission and discharge clinical diagnosis was 71% and between final clinical diagnosis and autopsy was 72%, Therefore, first clinical and autopsy diagnosis are related poorly (50%). It causes more excessive and unnecessary costs for patients and society that can be cause of patientsʹ wandering and probably unreversible complications. Education of medical students by new practical, attractive and effective methods is emphasized.
