Postmortem clinical diagnosis: typical errors in its formulation and their causes

DOI: https://doi.org/10.29296/25877305-2021-10-07
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Issue: 
10
Year: 
2021

A. Lebedeva(1), Candidate of Medical Sciences; Associate Professor A. Bereznikov(1, 3), MD; S.
Shkitin(1), Candidate of Medical Sciences; N. Makarets(1), U. Dzhulakyan(2), Candidate of Medical Sciences
(1)OOO «AlfaStrakhovanie-OMS» (Alpha-Insurance-MHI), Moscow (2)National Medical Research Center for
Hematology, Ministry of Health of Russia, Moscow (3)Moscow State University of Food Production

Fatal outcomes are not uncommon in modern clinical practice. Practitioners face the need to execute a postmortem final clinical diagnosis (FCD). Objective: to identify typical errors in the formulation of postmortem FCD and to define their causes. Material and methods. A retrospective cohort study was conducted to examine medical care cases with a fatal outcome for the correctness of the formulation of a postmortem FCD and to assess the results of its comparison with a pathoanatomical diagnosis (PAD) by the examination data on healthcare quality in mandatory health insurance. Results and conclusion. Errors in the formulation of a postmortem FCD and their causes were indicated. The risk scenario technique was used to identify risk factors in therapeutic and surgical units.
Keywords: 
fetal outcomes
postmortem diagnosis
diagnosis discrepancy
defect in medical care
scenario technique
mandatory health insurance

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