Diagnostic error increases mortality and length of hospital stay in patients presenting through the emergency room

Table 5 Predicting diagnostic discrepancy by variables obtained in the emergency department

		Model 1		Model 2		Model 3		Model 4		Model 5
		OR	p	OR	p	OR	p	OR	p	OR	p
	(Intercept)	0.07	< 0.001	0.05	< 0.001	0.04	0.001	0.05	0.010	0.06	0.056
Patient	Age	1.19	0.252	1.22	0.201	1.21	0.222	1.29	0.183	1.24	0.268
	Gender	1.47	0.179	1.46	0.186	1.48	0.169	1.58	0.214	1.49	0.289
	Triage category			1.05	0.826	1.04	0.858	0.93	0.778	0.95	0.862
	Specific chief complaint			1.31	0.350	1.31	0.353	1.41	0.358	1.62	0.213
	CCS group*			1.00	0.870	1.00	0.870	1.01	0.890	0.98	0.611
Physician	Experience					1.06	0.522	1.15	0.142	1.19	0.092
Physician	Gender					1.01	0.977	0.83	0.627	0.80	0.563
Context	NEDOCS°							0.76	0.126	0.74	0.106
Context	Noise							1.06	0.778	1.05	0.813
Physicians’ evaluations of the diagnostic process	Atypical									3.04	0.009
	Confidence									0.79	0.345
	Difficulty									1.10	0.697

*Diagnostic Group according to Clinical Classification Software [55]; °National emergency department overcrowding scale [38]

ISSN: 1757-7241