Monday, October 27, 2008

Don’t Always Trust The Machines

I’m going through a patient’s chart to find an old EKG and this is what I came across.

Not sure which concerns me more - the fact that the EKG machine reads a blank EKG as sinus bradycardia and nonspecific ST abnormality (at least it got the “abnormal ECG” part correct) or …
the fact that it was confirmed by the cardiologist.

I know the cardiologist that read this EKG is a good doctor and a good guy in general. Most likely this confirmation was just due to a momentary lapse in attentiveness.

Nevertheless, this EKG brings up two important points.

First, look at what you’re doing before you hit the “enter” key on a computer. Having this EKG as “Exhibit A” in a malpractice case would be difficult to explain.

Second, don’t blindly trust the interpretations from the EKG machines. The readings may be there to help, but they’re not always right.

source

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