Document Detail

Autopsies in a modern teaching hospital. A review of 2,537 cases.
MedLine Citation:
PMID:  6547308     Owner:  NLM     Status:  MEDLINE    
We reviewed the clinical charts and the postmortem findings of 2,537 autopsies, and correlated them by constructing a "concordance score." In 2,293 cases (90%), the primary disease, as diagnosed at autopsy, had been recognized as such clinically, but in 244 cases (10%) it had not. In 2,300 cases a second disease was present, which had been diagnosed clinically in 1,795 patients. A third disease had been recognized clinically in 71% of 1,622 patients. In 1,601 patients (64%) the autopsy disclosed one or more unexpected important findings, which ranged from the main disease (244 cases) to a variety of significant incidental findings. The high incidence of surprises indicates that it is fallacious to preselect deaths for postmortem examination even when the clinical-autopsy correlation reaches 90%, and diagnostic error is only 10%.
H H Friederici; M Sebastian
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pathology & laboratory medicine     Volume:  108     ISSN:  0003-9985     ISO Abbreviation:  Arch. Pathol. Lab. Med.     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-07-02     Completed Date:  1984-07-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7607091     Medline TA:  Arch Pathol Lab Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  518-21     Citation Subset:  AIM; IM    
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MeSH Terms
Diagnostic Errors
Hospitals, Teaching*
Medical Records
Middle Aged
Quality of Health Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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