尸检质量保证计划。
Quality assurance programme for necropsies.
作者信息
Harrison M, Hourihane D O
机构信息
Department of Histopathology, St Jame's Hospital, Dublin, Eire.
出版信息
J Clin Pathol. 1989 Nov;42(11):1190-3. doi: 10.1136/jcp.42.11.1190.
Abstract
One hundred and eight consecutive necropsies were entered into a quality assessment of the necropsy service in this hospital using a previously published American protocol. Our results were similar to those of the American series, with confirmation of the major clinical diagnosis in 75%, but a higher rate of unsuspected diagnosis (44%). Necropsy was helpful in 58% of cases. The presentation of selected cases at a monthly conference on causes of death was valuable in correlating clinical and pathological findings, and in helping integrate both services.
摘要
采用先前发表的美国方案，对该医院尸检服务进行质量评估，纳入了连续108例尸检。我们的结果与美国系列研究相似，主要临床诊断的确诊率为75%，但意外诊断率较高（44%）。尸检在58%的病例中有所帮助。在每月一次的死因会议上展示部分病例，对于关联临床和病理结果以及促进两项服务的整合很有价值。
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本文引用的文献
1
Necropsy: a yardstick for clinical diagnoses.尸检：临床诊断的一把标尺。
Br Med J. 1980 Oct 11;281(6246):985-8. doi: 10.1136/bmj.281.6246.985.
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A prospective study of 1152 hospital autopsies: I. Inaccuracies in death certification.一项对1152例医院尸体解剖的前瞻性研究：I. 死亡证明中的不准确之处。
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The postautopsy conference with families.与家属的尸检后会议。
Arch Pathol Lab Med. 1984 Jun;108(6):497-8.
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Medicine without the autopsy.医学离不开尸体解剖。
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The autopsy as a measure of accuracy of the death certificate.尸检作为死亡证明准确性的一种衡量方式。
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