[尸检是一种有用的质量评估手段，因为可发现意外的临床相关发现并回答临床问题；一项回顾性研究]
[Autopsy are a useful quality instrument because of unexpected clinical relevant findings and the answering of clinical questions; a retrospective study].
作者信息
van Venrooij N A, Lenders J J, Lammens M M, van Krieken J H
机构信息
Afd. Pathologie, Universitair Medisch Centrum St Radboud, Postbus 9101, 6500 HB Nijmegen.
出版信息
Ned Tijdschr Geneeskd. 2003 Jul 5;147(27):1318-22.
OBJECTIVE
To determine the frequency of unexpected, clinically relevant findings in autopsies performed at the University Medical Centre, Nijmegen, the Netherlands, and the number of questions posed by the clinician that were answered by the pathologist performing the autopsy.
DESIGN
Descriptive.
METHOD
All 60 complete autopsy reports of patients older than 10 days for the period January 2000 to April 2000 were compared with the information available from the autopsy application forms and discharge letters.
RESULTS
An unexpected, clinically relevant findings was found in 20 cases (33%). The percentage questions answered by the pathologist was 93% (174 out of 187 questions).
CONCLUSION
Autopsy is an important instrument for improving the quality of medicine.
目的
确定在荷兰奈梅亨大学医学中心进行的尸检中意外的、具有临床相关性的发现的频率，以及临床医生提出的问题中由进行尸检的病理学家回答的数量。
设计
描述性研究。
方法
将2000年1月至2000年4月期间所有年龄超过10天患者的60份完整尸检报告与尸检申请表和出院小结中的可用信息进行比较。
结果
在20例（33%）中发现了意外的、具有临床相关性的发现。病理学家回答问题的百分比为93%（187个问题中的174个）。
结论
尸检是提高医疗质量的一项重要手段。
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