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Deontological examination as a criterion for the assessment of personal healthcare professional quality: A Strobe compliant retrospective study

机译：外语审查作为评估个人医疗保健专业品质的标准：符合频闪的回顾性研究

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Discrepancies between clinical and autopsy diagnoses range from 30% to 37%. The significance of deontological examinations remains high. In the pursuit of proper evaluation of diagnostic discrepancies , the establishment of pathogenesis, the mechanism of death, and a correct diagnosis are of particular importance. A retrospective study of deontological examinations, aimed at the detection of medical errors and carried out by the State Forensic Medicine Service during the period 1989 to 2016, was performed. The clinical and autopsy data from 1007 cases were collected in compliance with the research protocol. The number of deontological examinations tends to increase. In 60% of cases, the deceased were men. Most cases were in the age group of 50 to 59 years. Most examinations were carried out in relation to improperly provided healthcare services and the patient's death in surgery, admission, intensive care and obstetrics-gynecology departments. In 13% of cases, the diagnosis did not coincide and, in 79% of cases, the diagnoses fully coincided. In 68% of cases, the medical error was disproved. The number of deontological examinations is increasing. In most cases, clinical and autopsy diagnoses fully matched. Incorrectly clinically diagnosed intracranial injuries were the most common diagnostic mistakes. The data are similar to the results of research in other countries and would be relevant to ensuring the prevention of medical mistakes and the improvement of healthcare quality.
机译：临床和尸检之间的差异诊断范围为30％至37％。外语检查的重要性仍然很高。在追求适当评估诊断差异的情况下，建立发病机制，死亡机制和正确的诊断是特别重要的。进行了关于旨在检测医疗误差并由国家法医服务在1989年至2016年期间检测的外语检查的回顾性研究。从1007例案件的临床和尸检数据符合研究方案。外语检查的数量往往增加。在60％的病例中，死者是男性。大多数案件在50至59岁的时候。大多数考试都是关于不当提供的医疗服务和患者在手术，入场，重症监护和妇科部门的死亡方面进行的。在13％的病例中，诊断并未重合，并且在79％的病例中，诊断完全一致。在68％的病例中，医疗错误被驳斥。外语考试的数量正在增加。在大多数情况下，临床和尸检诊断完全匹配。错误地临床诊断术颅内损伤是最常见的诊断错误。这些数据类似于其他国家的研究结果，与确保防止医疗错误和改善医疗质量有关。

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