Rotman Samuel, Gerber Christel, Konasch Andreas, Allilaire Charline, Bart Pierre-Alexandre
Service of Clinical Pathology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Service of Internal Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Virchows Arch. 2025 May 10. doi: 10.1007/s00428-025-04115-4.
Medical autopsy activity has been declining for several decades to the point of completely ceasing in some European countries. The reason for this decline in activity was initially attributed to advances in imaging techniques as well as the costs involved. In this study, we have attempted to demonstrate that there is a way of increasing medical autopsy activity without any additional financial input or increase in human resources. Our results showed that good communication on the usefulness of medical autopsies within the medical and paramedical population and good training on how to request a medical autopsy from the family of the deceased patient would make it possible to increase the activity of medical autopsies without additional financial input. The second part of this study attempted to demonstrate that there is potential for increasing medical autopsy activity through the development of a digital process for requesting medical autopsies, with the aim of reducing the time spent on such a request by the clinician. Taken together, our results demonstrate the importance of communication within the medical and paramedical communities and with the family of the deceased patient for the success of medical autopsies. It also highlights the facilitating effect of digitisation in the medical autopsy request process for the clinicians.
几十年来，医学尸检活动一直在减少，在一些欧洲国家甚至完全停止。活动减少的原因最初被归因于成像技术的进步以及相关成本。在本研究中，我们试图证明有一种方法可以在不增加任何资金投入或人力资源的情况下提高医学尸检活动。我们的结果表明，在医护人员和辅助医护人员群体中就医学尸检的有用性进行良好沟通，以及就如何向死者家属请求进行医学尸检开展良好培训，将有可能在不增加资金投入的情况下提高医学尸检活动。本研究的第二部分试图证明，通过开发医学尸检请求的数字化流程，有潜力提高医学尸检活动，目的是减少临床医生在这类请求上花费的时间。综合来看，我们的结果表明，医护人员和辅助医护人员群体内部以及与死者家属之间的沟通对于医学尸检的成功至关重要。它还突出了数字化在医学尸检请求过程中对临床医生的促进作用。
