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. 1989 Nov;42(11):1190–1193. doi: 10.1136/jcp.42.11.1190

Quality assurance programme for necropsies.

M Harrison 1, D O Hourihane 1
PMCID: PMC501980  PMID: 2584432

Abstract

One hundred and eight consecutive necropsies were entered into a quality assessment of the necropsy service in this hospital using a previously published American protocol. Our results were similar to those of the American series, with confirmation of the major clinical diagnosis in 75%, but a higher rate of unsuspected diagnosis (44%). Necropsy was helpful in 58% of cases. The presentation of selected cases at a monthly conference on causes of death was valuable in correlating clinical and pathological findings, and in helping integrate both services.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cameron H. M., McGoogan E. A prospective study of 1152 hospital autopsies: I. Inaccuracies in death certification. J Pathol. 1981 Apr;133(4):273–283. doi: 10.1002/path.1711330402. [DOI] [PubMed] [Google Scholar]
  2. Cameron H. M., McGoogan E. A prospective study of 1152 hospital autopsies: II. Analysis of inaccuracies in clinical diagnoses and their significance. J Pathol. 1981 Apr;133(4):285–300. doi: 10.1002/path.1711330403. [DOI] [PubMed] [Google Scholar]
  3. Cameron H. M., McGoogan E., Clarke J., Wilson B. A. Trends in hospital necropsy rates: Scotland 1961-74. Br Med J. 1977 Jun 18;1(6076):1577–1580. doi: 10.1136/bmj.1.6076.1577. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Cameron H. M., McGoogan E., Watson H. Necropsy: a yardstick for clinical diagnoses. Br Med J. 1980 Oct 11;281(6246):985–988. doi: 10.1136/bmj.281.6246.985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Goldman L., Sayson R., Robbins S., Cohn L. H., Bettmann M., Weisberg M. The value of the autopsy in three medical eras. N Engl J Med. 1983 Apr 28;308(17):1000–1005. doi: 10.1056/NEJM198304283081704. [DOI] [PubMed] [Google Scholar]
  6. Karwinski B., Svendsen E. Comparison of clinical and postmortem diagnosis of pulmonary embolism. J Clin Pathol. 1989 Feb;42(2):135–139. doi: 10.1136/jcp.42.2.135. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kircher T., Nelson J., Burdo H. The autopsy as a measure of accuracy of the death certificate. N Engl J Med. 1985 Nov 14;313(20):1263–1269. doi: 10.1056/NEJM198511143132005. [DOI] [PubMed] [Google Scholar]
  8. Landefeld C. S., Chren M. M., Myers A., Geller R., Robbins S., Goldman L. Diagnostic yield of the autopsy in a university hospital and a community hospital. N Engl J Med. 1988 May 12;318(19):1249–1254. doi: 10.1056/NEJM198805123181906. [DOI] [PubMed] [Google Scholar]
  9. Lundberg G. D. Medicine without the autopsy. Arch Pathol Lab Med. 1984 Jun;108(6):449–454. [PubMed] [Google Scholar]
  10. Schned A. R., Mogielnicki R. P., Stauffer M. E. A comprehensive quality assessment program on the autopsy service. Am J Clin Pathol. 1986 Aug;86(2):133–138. doi: 10.1093/ajcp/86.2.133. [DOI] [PubMed] [Google Scholar]
  11. Stevanovic G., Tucakovic G., Dotlic R., Kanjuh V. Correlation of clinical diagnoses with autopsy findings: a retrospective study of 2,145 consecutive autopsies. Hum Pathol. 1986 Dec;17(12):1225–1230. doi: 10.1016/s0046-8177(86)80564-0. [DOI] [PubMed] [Google Scholar]
  12. Valdes-Dapena M. The postautopsy conference with families. Arch Pathol Lab Med. 1984 Jun;108(6):497–498. [PubMed] [Google Scholar]

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