The Autopsy as an Outcome and Performance Measure PDF Download

Author: Kathryn M McDonald
Publisher: Department of Health and Human Services Agency Earch and Quality
ISBN: 9781587630750
Category :
Languages : en
Pages : 208

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Author: Barry Leonard
Publisher:
ISBN: 9781437907414
Category :
Languages : en
Pages : 5

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The autopsy is valuable for its role in undergraduate and graduate medical educ., the identification and characterization of new diseases, and contributions to the understanding of disease pathogenesis. Although extensive, these benefits are difficult to quantify. This systematic review synthesizes the autopsy literature as it relates to 4 key questions: (1) To what extent does the autopsy reveal important diagnoses that were clinically unsuspected prior to death?; (2) To what extent does the autopsy provide a useful performance measure or audit of clinical diagnosis in general?; (3) What impact do autopsy findings have on clinical performance improvement?; and (4) To what extent are vital statistics compromised by low autopsy rates?

Author: Jody E. Hooper
Publisher: Springer
ISBN: 3319983733
Category : Medical
Languages : en
Pages : 198

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Autopsy as a field is enjoying an unexpected renaissance as new and improved uses are found for postmortem examination in quality improvement, education, and research. Increased interest in the autopsy is evident in the popular press as well as in national and international physician meetings.This text will provide an overview of topics the authors consider crucial to competent and effective autopsy practice in the 21st century. Each chapter will combine relevant theoretical background with current and practical experience-based guidance so that pathologists and clinicians can better utilize the autopsy to provide optimal value to families, patients, hospitals, and health systems. Distinguished contributors will provide a review of the rich history of autopsy practice, including assessments of how the past both informs autopsy practice and impedes its progress. The autopsy will be placed in the context of larger healthcare systems with chapters on the use of autopsy in quality improvement and evaluating the value of autopsy as a professional activity, as well as new technology that affects practice models. Better and more reproducible methods for reporting autopsy findings will be explored to exploit the full potential of autopsy data for cross-institutional research. Two chapters will also provide the first book-level review of the growing field of autopsies performed on an urgent basis to sample both diseased and normal control tissue for research. These “rapid research autopsies” are especially crucial to cancer research and the growth of personalized medicine, and the book will explain the science behind utilization of autopsy tissue and offer a full template for designing and delivering a successful rapid autopsy program. Additionally, pathologist and clinician contributors will highlight current recommendations for special techniques and ancillary testing in postmortem examinations to serve the needs of today’s patient populations. As resident education is re-examined by pathology and education authorities, new competency-based training models will almost certainly come to the fore. A chapter will examine approaches to the future training of medical students, residents, and fellows in an environment of changing autopsy exposure. A final chapter will summarize the vision for the autopsy as a clinical outcome measure, and valuable scientific resource. This book will be a new type of volume in the field of autopsy pathology. It differs from the presently available review references and atlases in that it provides guidance for readers to embrace transformations that are already taking place in the field. There currently is no resource that offers comprehensive guidance for modern autopsy practice and looks forward to what the field might become in the future.

Author: Andrew J Connolly
Publisher: Elsevier Health Sciences
ISBN: 0323295363
Category : Medical
Languages : en
Pages : 490

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A mainstay for pathology residents, Autopsy Pathology is designed with a uniquely combined manual and atlas format that presents today’s most complete coverage of performing, interpreting, and reporting post-mortem examinations. This lasting and useful medical reference book offers a practical, step-by-step approach to discussing not only the basics of the specialty, but the performance of specialized autopsy procedures as well. Material is divided into two sections for ease of use: a manual covering specific autopsy procedures, biosafety, generation of autopsy reports, preparation of death certificates, and other essential subjects; and an atlas, organized by organ system, which captures the appearance of the complete spectrum of autopsy findings. Covers forensic pathology in a chapter introducing the subspecialty. Offers expanded coverage of microscopic anatomy. Includes a chapter on performing special dissection procedures that may not be covered during a typical residency. Examines important techniques, such as autopsy photography and radiology, microscopic examination, supplemental laboratory studies, and other investigative approaches. Addresses the latest legal, social, and ethical issues relating to autopsies, as well as quality improvement and quality assurance. Presents more than 600 full-color photographs depicting common gross and microscopic autopsy findings for every part of the body. Correlates pathologic findings with their clinical causes to enhance diagnostic accuracy. Improved images in the Atlas section provide greater visual understanding.

Author: Peter G. Smith
Publisher:
ISBN: 0198732864
Category : Health & Fitness
Languages : en
Pages : 479

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This is an open access title available under the terms of a CC BY-NC 4.0 International licence. It is free to read at Oxford Scholarship Online and offered as a free PDF download from OUP and selected open access locations. Before new interventions are released into disease control programmes, it is essential that they are carefully evaluated in field trials'. These may be complex and expensive undertakings, requiring the follow-up of hundreds, or thousands, of individuals, often for long periods. Descriptions of the detailed procedures and methods used in the trials that have been conducted have rarely been published. A consequence of this, individuals planning such trials have few guidelines available and little access to knowledge accumulated previously, other than their own. In this manual, practical issues in trial design and conduct are discussed fully and in sufficient detail, that Field Trials of Health Interventions may be used as a toolbox' by field investigators. It has been compiled by an international group of over 30 authors with direct experience in the design, conduct, and analysis of field trials in low and middle income countries and is based on their accumulated knowledge and experience. Available as an open access book via Oxford Medicine Online, this new edition is a comprehensive revision, incorporating the new developments that have taken place in recent years with respect to trials, including seven new chapters on subjects ranging from trial governance, and preliminary studies to pilot testing.

Author: Kim A. Collins
Publisher:
ISBN: 9780930304782
Category : Autopsy
Languages : en
Pages : 397

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Intended for the pathologist who may not deal with autopsies on a regular basis, topics covered include: Autopsy history, CAP documents pertaining to the autopsy, and concerns about the autopsy Autopsy safety, including high risk cases and special precautions for Creutzfeldt-Jakob disease Autopsy performance, including maternal, placental, and perinatal/pediatric autopsies; organ and tissue procurement; and evaluation of transplant recipients; Autopsy procedures for the CNS, special studies on the heart and lungs, and sampling for microorganisms; Autopsy reporting, including medical certification of death and communication of autopsy results.

Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309377722
Category : Medical
Languages : en
Pages : 473

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Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Author: Burkhard Madea
Publisher: John Wiley & Sons
ISBN: 1119648610
Category : Medical
Languages : en
Pages : 3306

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Der Goldstandard unter den Referenzwerken der Rechtsmedizin In der zweiten Auflage des Handbook of Forensic Medicine vermittelt der Herausgeber Burkhard Madea der Leserschaft einen umfassenden, internationalen Ansatz in der Rechtsmedizin mithilfe eines Teams von Experten aus aller Welt. Das Buch enthält neue Inhalte zu den Themen Tatortuntersuchung, Analyse von Blutfleckenmustern, Terroranschläge, Brandkatastrophen, neue psychoaktive Substanzen und Molekularpathologie sowie einen umfassenden Überblick über sämtliche Aspekte der Rechtsmedizin. In den einzelnen Kapiteln werden alle Faktoren der Qualitätskontrolle und Best Practices behandelt. Anhand von Fallstudien werden die dort erläuterten Konzepte veranschaulicht und die Verbindungen zwischen verschiedenen Teildisziplinen hervorgehoben. Für Spezialisten, die täglich im Einsatz sind, werden in jedem Kapitel die Elemente der Routineanalyse behandelt. In der zweiten Auflage des Handbook of Forensic Medicine werden die neuesten Entwicklungen in der forensischen Molekularbiologie, der forensischen Toxikologie, der Molekularpathologie und der Immunhistochemie besprochen. Darüber hinaus bietet das Werk: * Eine gründliche Einführung in die Aufgaben der Rechtsmedizin in der modernen Gesellschaft mit einer Darstellung der internationalen Richtlinien und Akkreditierungen in der Rechtsmedizin * Umfassende Betrachtungen der medizinischen Aspekte des Todes, insbesondere des Wesens und der Definition von Tod, Autopsie und der Identifizierung der Opfer von Massenkatastrophen * Praktische Erörterungen zur Traumatologie und zum gewaltsamen Tod, insbesondere durch Ersticken, Stromschlag und Blitzschlag, Kindstötung und ärztliche Kunstfehler * Tiefgreifende Untersuchungen zum plötzlichen und unerwarteten Tod aus natürlichen Gründen, auch zur Biochemie nach dem Tod Dieses Buch ist unverzichtbar für jeden Experten in der Rechtsmedizin, Toxikologie und Hämogenetik sowie für alle, die Gutachten für Gerichtsverfahren erstellen sollen. Auch für Rechtsanwälte und Jurastudenten ist es ein ideales Nachschlagewerk.

Author: Max M. Houck
Publisher: Elsevier
ISBN: 0128025018
Category : Law
Languages : en
Pages : 438

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Forensic Pathology, the latest volume in the Advanced Forensic Science series that grew out of the recommendations from the 2009 NAS Report serves as a graduate level text for those studying and teaching forensic pathology, and is an excellent reference for forensic pathologists’ libraries or for use in their casework. Coverage includes postmortem interval, autopsy, trauma, causes of death, identification, and professional issues. Edited by a world-renowned leading forensic expert, this series provides a long overdue solution for the forensic science community. Provides basic principles of forensic science and an overview of forensic pathology Contains sections on postmortem interval, autopsy, trauma, causes of death, and identification Includes a section on professional issues, such as crime scene to court, expert witness testimony, health and safety, deaths in custody, and suicide Incorporates effective pedagogy, key terms, review questions, discussion questions, and additional reading suggestions

Author:
Publisher:
ISBN:
Category : Health services administration
Languages : en
Pages : 328

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