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This suggests that there’s nonetheless room for improvement by way of making certain doctors commit to recording ‘a diagnosis’ from the National Data Set and thereby guarantee it improves in high quality over time to mirror medical actuality. The majority of infants who attended A&E had been diagnosed with both ID, respiratory or gastrointestinal problems. By detailed evaluate of A&E case notes, we had been able to reduce the number of infants given a diagnostic class of NAD or unclassifiable by 42%. Using the extrapolation of revised diagnoses in the subgroup to the entire population, we estimate that 11–12 infants per week really attended the study A&E services with no identifiable underlying diagnosis. There had been important differences within the proportion of infants with every prognosis by hospital web site which appeared to not reflect a true distinction within the scientific diagnostic spectrum seen in every hospital. To our information, this is the only published research analyzing the quality of A&E attendance diagnoses for any paediatric age group.
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In Hospital A, all A&E attendances have been clerked utilizing a structured commonplace proforma which included a field for analysis at the finish of the proforma. In Hospital B, all A&E attendances were clerked utilizing free text on standard notice paper with a box for prognosis on the overlaying sheet. The medical expertise of the assessing paediatric physician will have varied.
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