Haque A K, Patterson R C, Grafe M R
University of Texas Medical Branch, Department of Pathology, Galveston 77550-0743, USA.
Arch Pathol Lab Med. 1996 Aug;120(8):727-32.
Identification of factors that contribute to a high autopsy rate at our institution.
An objective analysis of the Autopsy Service's organization, functions, and process flow to identify factors that impact the autopsy rate.
The University of Texas Medical Branch at Galveston, Tex.
Statistics were collected using the autopsy log book and computerized data bank. The events starting at the time of a patient's death through the completion of the autopsy report were reviewed. The role of each significant event was analyzed.
The annual autopsy rates between 1981 and 1995 ranged between 45% and 59%. The largest number of nonmedicolegal autopsies were received from the Department of Internal Medicine. The Texas Department of Criminal Justice Hospital contributed the largest number of medicolegal autopsies. We conclude that the following key factors contribute to our high autopsy rates: (1) the organization and multiple functions of the Autopsy Service, particularly the presence of a Decedent Affairs Office, dedicated resident assignments, and internal and external quality control of the autopsies; (2) close interactions with clinicians, including timely communication of autopsy results to clinicians and a fostering of positive attitude among clinical residents and faculty; and (3) other factors such as the contributions to hospital risk management, disproving the idea that there may be increased litigation related to high autopsy rates, and support by the hospital administration.
确定导致我院尸检率高的因素。
对尸检服务的组织、功能和流程进行客观分析，以确定影响尸检率的因素。
得克萨斯州加尔维斯顿的德克萨斯大学医学分校。
使用尸检日志和计算机数据库收集统计数据。回顾了从患者死亡之时起至尸检报告完成的一系列事件。分析了每个重要事件的作用。
1981年至1995年的年尸检率在45%至59%之间。内科接收的非法医尸检数量最多。德克萨斯刑事司法医院提供的法医尸检数量最多。我们得出结论，以下关键因素导致了我们较高的尸检率：（1）尸检服务的组织和多种功能，特别是设立了死者事务办公室、分配了专门的住院医师以及对尸检进行内部和外部质量控制；（2）与临床医生密切互动，包括及时向临床医生通报尸检结果以及培养临床住院医师和教员的积极态度；（3）其他因素，如对医院风险管理的贡献、反驳高尸检率可能导致诉讼增加的观点以及医院管理层的支持。
