ENBIS-17 in Naples

9 – 14 September 2017; Naples (Italy) Abstract submission: 21 November 2016 – 10 May 2017

Misdiagnosis in Emergency Department and Its Impact on Hospital Load

13 September 2017, 09:20 – 09:40

Abstract

Submitted by
Yariv Marmor
Authors
Yariv Marmor (ORT Braude College of Engineering)
Abstract
Accurate diagnosis of patients is one of emergency departments (ED) main objectives, where patient health state can be characterized by a single category or by a set of multi health issues. In our work, we adopted the International Statistical Classification of Diseases and Related Health Problems (ICD) codes in its 9th version. We, first, suggest metric for measuring diagnosis divergence between two major diagnoses – one that is made to finalize ED process and the second that concludes patient’s hospitalization. As the ICD codes are hierarchical based, there is a need to account for appropriate measures. Next, we propose a way to compare between patient’s comorbidity (multiple health conditions) after ED process and at the end of hospitalization based on new approach of ANOVA for tree-structured data. Finally, we explore a case study in order to demonstrate how the load at the ED is related to an effective classification, and how misclassification is related to an extra work in the hospital wards.
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