How good is our diagnostic intuition? Clinician prediction of bacteremia in critically ill children.

ABSTRACT:

Background

Clinical intuition and nonanalytic reasoning play a major role in clinical hypothesis generation; however, clinicians' intuition about whether a critically ill child is bacteremic has not been explored. We endeavored to assess pediatric critical care clinicians' ability to predict bacteremia and to evaluate what affected the accuracy of those predictions.

Methods

We conducted a retrospective review of clinicians' responses to a sepsis screening tool ("Early Sepsis Detection Tool" or "ESDT") over 6 months. The ESDT was completed during the initial evaluation of a possible sepsis episode. If a culture was ordered, they were asked to predict if the culture would be positive or negative. Culture results were compared to predictions for each episode as well as vital si

SUBMITTER: Hoops KEM 

PROVIDER: S-EPMC7330962 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature