Discrepancy between Hospital Discharge Diagnosis and Emergency Department Admission Diagnosis

Abstract

The objective is to investigate the matching between emergency department and discharge diagnosis as well as how investigations affect accurately of emergency department diagnosis. The study was conducted retrospectively over a six-month period. Setting: The emergency department Department at king Saud medical (KSMC), including four in-patient specialties: orthopedics, surgery, and medicine. Subjects: All patients that entered the emergency room during the study period. The correlation degree of hospital discharge diagnosis and admission diagnosis serve as the primary outcome markers. Results: 72% of diagnoses at admission completely or partially matched diagnoses at discharge. Young people, and traumatized cases had significantly superior diagnosis accuracy, according to data. The diagnostic accuracy was impacted by the specialization department and the investigations done. In conclusion, the physical examination and history are still the two most important diagnostic techniques employed in the emergency room. Simple tests available in the ER were frequently ineffective at improving diagnostic accuracy.