Scottolini A G, Weinstein S R
JAMA. 1983 Sep 2;250(9):1192-4.
The postmortem examination, despite declining rates, remains the final word in diagnostic quality control and a major tool in research and education. In 100 autopsies studied at our institution, it was found that 13% of major clinical diagnoses were not confirmed, and in 24% the cause of death was not in the clinical diagnoses. These figures demonstrate a higher clinical diagnostic accuracy rate than in previous studies, and the possible reasons for this are discussed. The length of hospital stay is not found to have any bearing on diagnostic accuracy.
尽管尸检率在下降，但它仍然是诊断质量控制的最终定论，也是研究和教育的主要工具。在我们机构研究的100例尸检中，发现13%的主要临床诊断未得到证实，24%的死亡原因不在临床诊断中。这些数字表明临床诊断准确率高于以往研究，并讨论了其可能的原因。未发现住院时间与诊断准确率有任何关联。
