Articles related to CLINICAL ASSESSMENT

In a prospective study of nearly 4,000 children evaluated for suspected pulmonary embolism, the PERC-Peds rule demonstrated 99.6% sensitivity and a 0.1% false-negative rate. The findings support diagnostic assessment performance in the study population without establishing broader implementation outcomes.

A malpractice lawsuit alleges a prosthetic heart valve was implanted upside down during pediatric cardiac surgery, resulting in prolonged postoperative shock and ECMO support before revision surgery at a second institution. The allegations remain unproven and litigation is ongoing.

Genetic testing identifies causative variants in approximately 65% to 70% of suspected inherited retinal disease cases and may shorten diagnostic delays. Advances in sequencing technologies and expanding testing access continue to shape retinal disease evaluation and counseling.

A medical ICU implemented risk-stratified nursing interventions to prevent unplanned extubation and reduced event rates from 1.307 to 0.344 per 100 ventilator days over five years. The quality improvement initiative focused on assessment, communication, and standardized prevention bundles.

A nursing commentary argues that nurses play an underrecognized role in diagnostic processes and that current language may obscure those contributions. The authors contend that clearer diagnostic role definitions could support clinical judgment and patient safety.

A case report describes successful kidney transplantation in a highly sensitized patient whose probability of finding a compatible donor had been considered effectively zero. Treatment with teclistamab substantially reduced anti-HLA antibodies, enabling transplantation after prolonged wait-list status.