Booth S A, Wilkins M L, Smith J M, Park G R
Department of Anaesthesia, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK.
Anaesthesia. 2003 Dec;58(12):1204-9. doi: 10.1046/j.1365-2044.2003.03445.x.
We performed a postal survey to assess the ability of intensive care unit directors and Her Majesty's Coroners to recognise deaths that should be reported to the local coroner. The survey questionnaire consisted of 12 hypothetical case scenarios. Coroners were significantly better at identifying reportable deaths than intensive care unit directors (median correct recognition scores of 11 (interquartile range 9.25-11) vs. 8 (interquartile range 7-10), respectively, p < 0.01). Deaths associated with an accident, medical treatments, industrial disease, neglect and substance abuse were significantly under-reported by intensive care unit directors (p < 0.01). Results show that significant numbers of deaths on intensive care units in England and Wales may not be being referred for further investigation, and that wide variation in local coroners' practices exists. Improvements in postgraduate medicolegal education about deaths reportable to a coroner are required. National regulations need to be more detailed and standardised so that regional variation is eliminated.
我们开展了一项邮寄调查，以评估重症监护病房主任和女王陛下验尸官识别应向当地验尸官报告的死亡情况的能力。调查问卷包含12个假设病例场景。验尸官在识别应报告的死亡情况方面明显优于重症监护病房主任（正确识别分数中位数分别为11（四分位间距9.25 - 11）和8（四分位间距7 - 10），p < 0.01）。重症监护病房主任对与事故、医疗治疗、职业病、疏忽和药物滥用相关的死亡报告严重不足（p < 0.01）。结果表明，英格兰和威尔士重症监护病房中相当数量的死亡可能未被提交进一步调查，且当地验尸官的做法存在很大差异。需要改进关于应向验尸官报告的死亡情况的研究生法医学教育。国家法规需要更详细和标准化，以消除地区差异。
