Value of Keeping Records of Mortality
| Autor: | Pieter J. Spaander, Jan Willem H. P. Lardenoye, Mark-Paul F. M. Vrancken Peeters, Paul J. Breslau, Arie Pieter Kappetein |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Medical Audit
medicine.medical_specialty Pediatrics business.industry Public health Psychological intervention Clinical course Medical practice Therapeutics Disease Medical Records Surgery Cause of Death Diagnosis Epidemiology medicine Humans Autopsy Mortality Complication business Netherlands Cause of death |
| Zdroj: | The European Journal of Surgery. 168:436-440 |
| ISSN: | 1102-4151 |
| Popis: | Objective: To evaluate treatment and complications which is essential for good medical practice. Design: Prospective audit. Setting: City hospital, the Netherlands. Subjects: All the patients who died on the surgical ward between 1994 and 1998 and were classified according to four categories of mortality recording. Interventions: The causes of death, inaccuracies in treatment and the extent of agreement between premortem and postmortem findings were documented. Main outcome measures: Morbidity and mortality. Results: Of the 11 195 patients admitted, 420 (4%) deceased during their hospital stay. Most patients died of the disease with which they presented at admission ( n = 176, 42%) or of complications ( n = 167, 40%). In 20% ( n = 83) of the cases a shortcoming in the clinical course was found. 251 of the 420 patients who died (60%) had a necropsy. 53 of the 251 reports (21%) gave information that could have had an effect on the treatment or the clinical course. Conclusions: Recording mortality is a way o... |
| Databáze: | OpenAIRE |
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