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[尸体解剖在内科病房患者管理质量控制中的作用]

[The role of medical autopsies as a quality control of patients management in internal medicine units].

作者信息

Rotman Samuel, Zaugg Thomas, Bart Pierre-Alexandre

机构信息

Service de pathologie clinique, CHUV, 1011 Lausanne.

Service de médecine interne, CHUV, 1011 Lausanne.

出版信息

Rev Med Suisse. 2016 Nov 23;12(540):2015-2019.

Abstract

The number of medical autopsies has declined in recent decades due to the development of imaging techniques and some risks linked to autopsies. However, the contribution of autopsy is diagnostically significant, even better than new technologies currently available. It is thus a good indicator of quality, but also a training tool, and has a significant impact in the grieving process. At the CHUV, under the leadership of Pathology Department, institutional projects have been implemented in order to increase the number of autopsies, including a pre- and post-graduate training and systematic request for autopsy, with significant gain for clinicians and pathologists, but also for families who get systematic and customized return results.

摘要

近几十年来,由于成像技术的发展以及与尸检相关的一些风险,医学尸检的数量有所下降。然而,尸检的作用在诊断方面意义重大,甚至比目前可用的新技术还要好。因此,它不仅是质量的良好指标,也是一种培训工具,并且在悲伤过程中具有重大影响。在洛桑大学医院(CHUV),在病理科的领导下,已经实施了一些机构项目以增加尸检数量,包括开展研究生前和研究生阶段的培训以及系统地要求进行尸检,这对临床医生和病理学家都有显著收获,对那些能得到系统且定制化反馈结果的家属也意义重大。

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