临床医生与死因裁判系统：临床医生识别应报告死亡病例的能力。
Clinicians and the coronial system: ability of clinicians to recognise reportable deaths.
作者信息
Start R D, Delargy-Aziz Y, Dorries C P, Silcocks P B, Cotton D W
机构信息
Department of Pathology, Sheffield University Medical School.
出版信息
BMJ. 1993 Apr 17;306(6884):1038-41. doi: 10.1136/bmj.306.6884.1038.
OBJECTIVE
To assess the ability of clinicians to recognise deaths which require referral to the coroner.
DESIGN
Postal questionnaire consisting of 16 fictitious case histories, 14 of which contained a clear indication for referral to the coroner.
SETTING
Large teaching hospital. Coroner's office.
SUBJECTS
200 clinicians from general medical and surgical firms and senior staff of the local coroner's office (two coroner's officers and the two deputy coroners).
MAIN OUTCOME MEASURES
Number of correct assessments on questionnaire.
RESULTS
The mean recognition score for the clinicians was 9.11 (range 3-14) with no difference between the clinical grades. All of the coroner's senior staff recorded maximum recognition scores of 16.
CONCLUSIONS
The study highlights several features of the coronial system which are poorly understood by clinicians and provides the basis for an initiative to improve the medicolegal education of all clinicians.
目的
评估临床医生识别需要提交给验尸官的死亡案例的能力。
设计
包含16个虚构病例史的邮政调查问卷，其中14个明确表明需要提交给验尸官。
地点
大型教学医院。验尸官办公室。
研究对象
来自普通内科和外科科室的200名临床医生以及当地验尸官办公室的高级工作人员（两名验尸官官员和两名副验尸官）。
主要观察指标
问卷上正确评估的数量。
结果
临床医生的平均识别分数为9.11（范围为3 - 14），不同临床级别之间无差异。所有验尸官高级工作人员的识别分数均为满分16分。
结论
该研究突出了验尸官系统中临床医生了解不足的几个特征，并为提高所有临床医生法医学教育的倡议提供了依据。
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