The American Journal of Medicine
Volume 117, Issue 9 , Pages 706-708 , 1 November 2004

Overreliance on computerized algorithms to interpret electrocardiograms

  • Richard H. Hongo, MD
  • ,
  • Nora Goldschlager, MD

      Affiliations

    • Corresponding Author InformationRequests for reprints should be addressed to Nora Goldschlager, MD, Division of Cardiology, Department of Medicine, San Francisco General Hospital, Box 0862, SFGH 5G1, San Francisco, California 94143-0862

References 

  1. In:  Kohn LT ,  Corrigan JM ,  Donaldson MS editor. To Err Is Human: Building a Safer Health System . Washington, D.C.: National Academy Press; 2000;
  2. Rusnak RA , Stair TO , Hansen K , et al.  Litigation against the emergency physician: common features in cases of missed myocardial infarction . Ann Emerg Med . 1989;18:1029–1034
  3. Salero SM , Alguire PC , Waxman HS . Competency in interpretation of 12-lead electrocardiograms: a summary and appraisal of published evidence . Ann Intern Med . 2003;138:751–760
  4. Holst H , Ohlsson M , Peterson C , Edenbrandt L . A confident decision support system for interpreting electrocardiograms . Clin Physiol . 1999;19:410–418
  5. Willems JL , Abreu-Lima C , Arnaud P , et al.  The diagnostic performance of computer programs for the interpretation of electrocardiograms . N Engl J Med . 1991;325:1767–1773
  6. Shirataka M , Miyahara H , Ikeda N , Domae A , Sato T . Evaluation of five computer programs in the diagnosis of second-degree AV block . J Electrocardiol . 1992;25:185–195
  7. Varriale P , David W , Chryssos BE . Multifocal atrial arrhythmia—a frequent misdiagnosis? A correlative study using the computerized ECG . Clin Cardiol . 1992;15:343–346
  8. Bogun F , Anh D , Kalahasty G , et al.  Misdiagnosis of atrial fibrillation and its clinical consequences . Am J Med . 2004;117:636–642
  9. Sur DK , Kaye L , Mikus M , Goad J , Morena A . Accuracy of electrocardiogram reading by family practice residents . Fam Med . 2000;32:315–319
  10. White T , Woodmansey P , Ferguson DG , et al.  Improving the interpretation of electrocardiograms in an accident and emergency department . Postgrad Med J . 1995;71:132–135
  11. Goodacre S , Webster A , Morris F . Do computer generated ECG reports improve interpretation by accident and emergency senior house officers . Postgrad Med J . 2001;77:455–457
  12. Tsai TL , Fridsma DB , Gatti G . Computer decision support as a source of interpretation error: the case of electrocardiograms . J Am Med Inform Assoc . 2003;10:478–483
  13. Pryor WM , Blackhurst DW . Follow-up evaluation of computerized electrocardiographic interpretations: a comparison of cardiologists' vs (internists' performance) . J S C Med Assoc . 1996;92:339–343
  14. Brailer DJ , Kroch E , Pauly MV . The impact of computer-assisted test interpretation on physician decision making: the case of electrocardiograms . Med Decis Making . 1997;17:80–86

PII: S0002-9343(04)00520-0

doi: 10.1016/j.amjmed.2004.08.006

The American Journal of Medicine
Volume 117, Issue 9 , Pages 706-708 , 1 November 2004