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Commonly missed injuries in the accident and emergency department

Surgical Rotation, Birmingham Heartlands Hospital, Birmingham, UK

Anthony Bleetman

Accident and Emergency Medicine, Birmingham Heartlands Hospital, Birmingham, UK, bleetman{at}enterprise.net

Accident and emergency (A&E) medicine is a high-risk speciality in which the majority of patients are managed by junior doctors with limited clinical experience. A review of the literature identified that the rate of missed injury ranges from 0.4 to 65%. Missed injuries are by definition preventable and have multiple implications for patients and health-care workers. This article reviews the types of injury that are commonly missed in A&E departments and identifies the errors that have been made in the past, with recommendations for management strategies to reduce the incidence of missed injury.

Key Words: A&E • delayed diagnosis • missed injury • radiology audit • tertiary trauma survey

Trauma, Vol. 6, No. 1, 41-51 (2004)
DOI: 10.1191/1460408604ta298oa


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