Aiken Sally S, Nashelsky Marcus
From the Retired Medical Examiner, Spokane, WA.
Johnson County Medical Examiner Department, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Am J Forensic Med Pathol. 2023 Sep 1;44(3):e91-e96. doi: 10.1097/PAF.0000000000000853. Epub 2023 Jul 8.
Second autopsies are uncommon in the United States yet are of significant public value. A second autopsy may be sought when the first autopsy findings are disputed, considered biased, or inadequately communicated. Second autopsies are technically and interpretatively difficult and usually rely heavily on investigative information, first autopsy findings, and additional documentation from the first autopsy. Medicolegal second autopsies should be performed only by experienced, board-certified forensic pathologists. Pathologists performing second autopsies should acknowledge and disclose the limitations of second autopsies. The first autopsy pathologist should recognize the quality assurance value of a second autopsy and fully disclose autopsy documentation to the second autopsy pathologist, if permitted by jurisdictional law.
二次尸检在美国并不常见,但具有重大的公共价值。当首次尸检结果存在争议、被认为有偏差或沟通不充分时,可能会进行二次尸检。二次尸检在技术和解读上都很困难,通常严重依赖调查信息、首次尸检结果以及首次尸检的其他文件。法医学二次尸检应由经验丰富、获得委员会认证的法医病理学家进行。进行二次尸检的病理学家应承认并披露二次尸检的局限性。如果司法管辖区法律允许,首次尸检病理学家应认识到二次尸检的质量保证价值,并向二次尸检病理学家充分披露尸检文件。