Hanzlick R
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia.
Am J Forensic Med Pathol. 1994 Jun;15(2):110-7. doi: 10.1097/00000433-199406000-00005.
Following a suggestion that the National Association of Medical Examiners (N.A.M.E.) develop a N.A.M.E. Information Center (NIC), N.A.M.E. conducted a survey to evaluate the current status of medical examiner office automation (computerization) in the United States. Responses were received from 80 unique reporting areas, including 75 medical examiner offices, which represent approximately 30% of the 258 medical examiner jurisdictions in the country. A total of 58 responders (65%) indicated that their office was automated. At least 38 states have one or more automated death investigation office, and electronic data exist for approximately 145,000 deaths per year, or approximately 30% of all deaths certified by medical examiners and coroners annually and approximately 6% of all deaths per year in the United States. Although computerized offices vary substantially in size and in their choice of hardware and software, a typical computerized medical examiner office (a) is in a single county with 1,000-6,000 death reports per year, (b) keeps electronic records on all cases reported, (c) uses an IBM or compatible personal computer (PC) or PC network with off-the-shelf software, (d) stores data on cause of death, manner of death, how injuries occur, and toxicology results, and (e) is interested in sharing its data. Considerable electronic death investigation data exist that can provide timely and valuable information for mortality and public health studies.
在有人建议国家验尸官协会(N.A.M.E.)设立一个N.A.M.E.信息中心(NIC)之后,N.A.M.E.进行了一项调查,以评估美国验尸官办公室自动化(计算机化)的现状。收到了来自80个独立报告区域的回复,其中包括75个验尸官办公室,这些办公室约占美国258个验尸官辖区的30%。共有58名回复者(65%)表示他们的办公室实现了自动化。至少有38个州拥有一个或多个自动化死亡调查办公室,每年存在约145,000例死亡的电子数据,约占每年由验尸官和法医认证的所有死亡人数的30%,以及美国每年所有死亡人数的约6%。尽管计算机化办公室在规模以及硬件和软件的选择上差异很大,但一个典型的计算机化验尸官办公室(a)位于一个每年有1000 - 6000份死亡报告的单一县内,(b)保存所有报告案件的电子记录,(c)使用IBM或兼容的个人计算机(PC)或带有现成软件的PC网络,(d)存储关于死亡原因、死亡方式、伤害如何发生以及毒理学结果的数据,并且(e)有兴趣共享其数据。存在大量的电子死亡调查数据,可为死亡率和公共卫生研究提供及时且有价值的信息。