O'Leary D S
Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Ill. 60181, USA.
Arch Pathol Lab Med. 1996 Aug;120(8):763-6.
The Joint Commission on Accreditation of Healthcare Organizations has long been a strong proponent of the autopsy. Standards related to autopsies are clearly set forth in the current manual for hospitals. However, radical changes in the health care environment and in the philosophy of accreditation are placing the use of autopsy results in a new context. In that context, autopsy results are competing with other performance measures as drivers of quality improvement, and the autopsy itself is competing for scarce resources. A successful outcome will require autopsy advocates to persuade key audiences (viz, consumers, purchasers, and hospital executives) that autopsy findings lead to substantive improvements in the delivery of care, and that the autopsy is more worthy of support than other sources of performance data.
长期以来，医疗组织认证联合委员会一直大力支持尸体解剖。当前的医院手册中明确规定了与尸体解剖相关的标准。然而，医疗环境和认证理念的根本性变化正将尸体解剖结果置于新的背景之下。在这种背景下，尸体解剖结果正与其他绩效指标竞争，以推动质量改进，而尸体解剖本身也在争夺稀缺资源。要取得成功，尸体解剖的倡导者需要说服关键受众（即消费者、购买者和医院管理人员），使他们相信尸体解剖结果能切实改善医疗服务的提供，并且尸体解剖比其他绩效数据来源更值得支持。
