Autopsy: quality assurance in the ICU.
Intensive Care Med
; 25(4): 360-3, 1999 Apr.
Article
em En
| MEDLINE
| ID: mdl-10342508
ABSTRACT
OBJECTIVE:
To examine the correlation between the clinical diagnosis and autopsy findings in adult patients who died in an intensive care unit (ICU). To determine the rate of agreement of the basic and terminal causes of death and the types of errors in order to improve quality control of future care.DESIGN:
Retrospective study.SETTING:
Adult ICU in a university hospital. PATIENTS 30 adult patients who died in the ICU, with the exclusion of medicolegal cases. METHODS AND MAINRESULTS:
Anatomo-clinical meetings were held to analyze the pre- and postmortem correlations in 30 consecutive autopsies at the ICU of the University Hospital, School of Medicine of Botucatu/ UNESP, from January 1994 to January 1997. The rate of correct clinical diagnoses of the basic cause was 66.7%; in 23.3% of cases, if the correct diagnosis was made, management would have been different, as would have been the evolution of the patient's course (Class I error); in 10% of the cases the error would not have led to a change in management (Class II error). The rate of correct clinical diagnoses of terminal cause was 80%.CONCLUSIONS:
The rate of recognition of the basic cause was 66.7%, which is consistent with the literature, but the Class I error rate was higher than that reported in the literature.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Autopsia
/
Erros de Diagnóstico
/
Unidades de Terapia Intensiva
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Intensive Care Med
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Brasil