Accuracy of referral diagnosis to an emergency eye clinic
| Autor: | Jasmin Nari, Lulu L.C.D. Bursztyn, Larry H. Allen |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Eye Diseases Demographics Referral MEDLINE Young Adult 03 medical and health sciences 0302 clinical medicine Health care medicine Humans 030212 general & internal medicine Medical diagnosis Child Referral and Consultation Aged Retrospective Studies Aged 80 and over business.industry Infant Newborn Infant Reproducibility of Results Retrospective cohort study General Medicine Middle Aged Triage Ophthalmology Child Preschool Family medicine Referral diagnosis 030221 ophthalmology & optometry Female Clinical Competence Emergencies Emergency Service Hospital business |
| Zdroj: | Canadian Journal of Ophthalmology. 52:283-286 |
| ISSN: | 0008-4182 |
| Popis: | Objective To determine the accuracy of diagnosis of ophthalmic problems from health care practitioners such as optometrists, general practitioners, and emergency physicians in and around London, Ontario, Canada. Design Retrospective review of all referrals to the Ivey Eye Institute emergency eye clinic over a period of 6 months from January to July 2011. Participants During the study period, there were 1810 patient encounters, including 1134 new referrals. Methods For each patient encounter, information was collected regarding basic demographics, referral source, referral diagnosis, and final diagnosis. Referrals were categorized by source of referral and anatomic location of the eye problem. The accuracy of each referral was assessed by comparing the referral diagnosis to the final diagnosis. Referrals were categorized as correct, incorrect, not yet diagnosed, nonspecific, or baseline examination. Results Referral diagnoses were correct in 45% and incorrect in 28% overall. Referral diagnoses from optometrists were correct in 54%, from emergency physicians were 39% correct, and from general practitioners were 33% correct. Ophthalmologists had the highest diagnostic accuracy, with 83% of referral diagnoses being correct. Diagnoses were incorrect in 36% from optometrists, 28% from emergency physicians, and 32% from general practitioners. Conclusions This study demonstrates the low accuracy rate of referral diagnoses of emergency eye patients from nonophthalmologists to the Ivey Eye Institute emergency eye clinic. Better training in the diagnosis of ophthalmic problems for general practitioner and emergency medicine residents would be of benefit. Optometrists may also find it helpful to have improved emergency and urgency training. Ophthalmologists should be involved in this training. |
| Databáze: | OpenAIRE |
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