{
  "id": "medical/pediatric-respiratory-rate-miscalc",
  "signature": "AI calculates pediatric respiratory rate threshold using adult norms, missing tachypnea in a 2-year-old",
  "signature_zh": "AI使用成人标准计算儿童呼吸频率阈值，遗漏2岁幼儿的呼吸急促",
  "regex": "(respiratory rate|RR|tachypnea)\\s*(child|pediatric|infant|toddler)\\s*(adult|normal|threshold)",
  "domain": "medical",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Normal respiratory rates vary by age: infants 30-60, toddlers 24-40, school-age 18-30, adults 12-20; applying adult thresholds (e.g., >20) to a 2-year-old fails to detect tachypnea (typically >40) indicating pneumonia or distress.",
  "root_cause_type": "generic",
  "root_cause_zh": "正常呼吸频率因年龄而异：婴儿30-60，幼儿24-40，学龄儿童18-30，成人12-20；将成人阈值（如>20）应用于2岁儿童无法检测到呼吸急促（通常>40），提示肺炎或窘迫。",
  "versions": [
    {
      "version": "PALS guidelines 2023",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "WHO child growth standards v2.1",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "EMR pediatric module v3.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Infants normally breathe 30-60; threshold >20 misses tachypnea; conversely, >40 in adults is extreme but normal in infants",
      "fail_rate": 0.95,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "This overestimates upper limit for young children (e.g., 24 for 2-year-old vs actual 40) and underestimates for infants",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Tachypnea can precede desaturation; early detection of increased work of breathing is critical for intervention",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Use age-specific RR reference table: `python -c \"t={'0-1mo':[30,60],'1-12mo':[24,40],'1-3yr':[24,40],'3-6yr':[22,34],'6-12yr':[18,30],'12+yr':[12,20]}; age='2yr'; print(f'RR range: {t[\"1-3yr\"]}')\"`",
      "success_rate": 0.95,
      "how": "Use age-specific RR reference table: `python -c \"t={'0-1mo':[30,60],'1-12mo':[24,40],'1-3yr':[24,40],'3-6yr':[22,34],'6-12yr':[18,30],'12+yr':[12,20]}; age='2yr'; print(f'RR range: {t[\"1-3yr\"]}')\"`",
      "condition": "",
      "sources": []
    },
    {
      "action": "Integrate pediatric vital sign calculator into EHR with age-based alerts; set tachypnea alarm at >40 for age 2",
      "success_rate": 0.9,
      "how": "Integrate pediatric vital sign calculator into EHR with age-based alerts; set tachypnea alarm at >40 for age 2",
      "condition": "",
      "sources": []
    },
    {
      "action": "Use WHO or PALS reference chart posted in clinical area; train staff on age-appropriate thresholds",
      "success_rate": 0.88,
      "how": "Use WHO or PALS reference chart posted in clinical area; train staff on age-appropriate thresholds",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Use age-specific RR reference table: `python -c \"t={'0-1mo':[30,60],'1-12mo':[24,40],'1-3yr':[24,40],'3-6yr':[22,34],'6-12yr':[18,30],'12+yr':[12,20]}; age='2yr'; print(f'RR range: {t[\"1-3yr\"]}')\"`",
    "Integrate pediatric vital sign calculator into EHR with age-based alerts; set tachypnea alarm at >40 for age 2",
    "Use WHO or PALS reference chart posted in clinical area; train staff on age-appropriate thresholds"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.uptodate.com/contents/approach-to-the-child-with-tachypnea",
  "official_doc_section": null,
  "error_code": "PEDS-VITAL-001",
  "verification_tier": "ai_generated",
  "confidence": 0.86,
  "fix_success_rate": 0.92,
  "resolvable": "true",
  "first_seen": "2024-02-28",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}