Value of Keeping Records of Mortality

Lardenoye, Jan Willem H. P.; Kappetein, Arie Pieter; Peeters, Mark-Paul F. M. Vrancken; Spaander, P.J.; Breslau, Paul J.

doi:10.1080/110241502321116406

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…16 We registered a 10.9% overall mortality rate after unplanned reoperation in contrast to the 4% mortality rate for all patients admitted to the surgical ward. 17 The significantly higher incidence of mortality can be explained by the complex comorbidity of the patients undergoing unplanned reoperations.…”

Section: Discussionmentioning

confidence: 99%

Can the Incidence of Unplanned Reoperations Be Used as an Indicator of Quality of Care in Surgery?

2007

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The incidence of unplanned reoperations could potentially be used as an indicator of quality of care. This study provided insight into the incidence of unplanned reoperations in a surgical department and added to the discussion of the value of unplanned reoperations as an indicator of quality of care. Between January 1996 and December 2003, all unplanned reoperations were entered prospectively into a complication registration system. The number of unplanned reoperations was 447 (1.7%). Unplanned reoperations occurred frequently after vascular (6.5%) and colon surgery (5.7%) and were caused predominantly by errors in surgical technique (70%) and patients' comorbidities (21%). Mortality for patients requiring unplanned reoperations was significantly higher than for patients who did not require reoperations (10.3% versus 4.0%). Unplanned reoperation rates can be an indicator of quality of care. However, a prospective, well-defined registry is essential to ensure an accurate assessment of the quality of care provided.

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Section: Discussionmentioning

confidence: 99%

Can the Incidence of Unplanned Reoperations Be Used as an Indicator of Quality of Care in Surgery?

2007

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“…Os achados de necropsia há muito são usados como substrato para averiguação das moléstias do paciente falecido e, apesar de também deverem ser objeto de controle de qualidade, o fato é que a necropsia se mantém como o padrão ouro para a avaliação do diagnóstico clínico, sendo então uma ferramenta importante e indispensável para a análise e auditoria das discrepâncias dos diagnósticos (SHOJANIA, 2004), (LARDENOYE et al, 2002), (NADROUS et al, 2003), (NEWTON et al, 2004), (BELZEBERG & RIVKIND, 1998), (TRELSTEAD et al, 1996).…”

Section: A Necropsia E As Discrepâncias Diagnósticasunclassified

Estudo da relação entre os diagnósticos clínicos e necroscópicos de <i>causa mortis</i> de pacientes que vieram a óbito no HC-FMRP/USP nos anos de 2010 e 2014

Carezzato¹

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Àqueles que não me deixaram desistir quando o tempo foi pouco e o trabalho foi muito, me ajudando em outras tarefas para que eu pudesse me concentrar nesta. Ao meu orientador e querido professor Sérgio Britto Garcia pela oportunidade, o apoio e todo o ensino de vida que veio além do contido neste trabalho. À Natália, pelas broncas. Eu não teria me esforçado tanto sem aquele seu empurrão inicial. Nunca me esqueci de que você, apesar de brava, acreditava em mim. Á Kênia, por ter sido família nesta cidade elitista, individualista, e hostil. Obrigada por todas as refeições juntas, por toda conversa sincera e por ter redistribuído as tarefas quando eu estava sobrecarregada. Obrigada por toda a louça que lavou, pelas roupas que recolheu e por não deixar meus gatos com fome. À Ari e a todos que leram os meus livros, por não me deixarem abandonar a poesia À Luanah, à Adriana, à Sissa, à Elisa e à Luiza, que preservaram o melhor de mim e logo no início da empreitada me deram apoio, me incentivaram e me admiraram no momento em que críticas prevaleciam. Suas famílias me adotaram, me alimentaram, me acolheram. Sua sensibilidade permitiu que eu tivesse momentos tristes e que não deixasse o peso do título suprimir a humanidade que transborda de mim. Ao Décio, ao Moacyr, à Érika e à Rose, que não precisavam me ajudar em nada, mas o fizeram por simples empatia e solidariedade. Ao Marcel, que me socorreu na formatação quando eu nem sabia como começar. Aos funcionários do Serviço de Arquivo Médico do HC e do Departamento de Patologia, que colaboraram prontamente com a pesquisa. À equipe de alunos, professores e funcionários do CeMeL pela harmonia, parceria e pelo melhor ambiente de trabalho que conheci. E pelo café também! À Leila, pela coragem que me deu de arriscar, de defender minha opinião, de seguir em frente sem ter guia, e pela coragem de desistir do que não mais fazia bem. À Halina, por ser rede, ser corda, ser gancho e cama elástica. Estou perdendo o medo de cair, mas é sempre mais seguro tendo você por perto, mãe. vii CAREZZATO, C.L. Study of the relationship between clinical and autopsy diagnoses of 'cause of death' of patients that died at HC-FMRP / USP in 2010 and 2014. Nf. Masters dissertation

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“…Na auditoria dos diagnósticos, os laudos de necropsia são utilizados como substrato para averiguação da causa mortis do paciente e nos casos de discrepâncias entre laudo da necropsia e diagnósticos clínicos, a necropsia é considerada como padrão ouro (Lardenoye et al, 2002;Nadrous et al, 2003;Newton et al, 2004;Aalten;Samson;Jansen, 2006;Grade et al, 2007). Papadodima et al, 2008;.…”

Section: O Exame Necroscópicounclassified

Estudo de casuística e concordância diagnóstica do Serviço de Verificação de Óbitos do Interior (SVOi), em Ribeirão Preto, SP, no período de 2008 a 2012

Terada¹

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The Death Verification Service provides complementary information for public epidemiology services and public health policies that are useful as tools for measuring the health status of a community and for the elaboration and evaluation of health programs. Diagnostic comparison between cause of death clinical diagnosis and the autopsy is a tool used for auditing medical services, and despite technological advances, discrepancies are still high. The present study sought to evaluate the casuistry in the Death Verification Service-Interior (DVSi) from 2008 to 2012 and to compare them with the general mortality statistics of the Ribeirão Preto municipality, which were made available by the Ministry of Health. In addition, it aimed to classify the diagnostic discrepancies between the requests for autopsies and final results of examinations in deaths using the Goldman revised criteria and, from the obtained data, to make a critical analysis of the DVSi impact on diagnostic clarification and its importance in mortality statistics. For the application of the criteria, secondary data from the cadaver referral, final reports and mortality data of the Ministry of Health were used, and data analysis was performed through descriptive statistical analysis. The results showed that during the study periods, 4464 autopsies were performed in the service, with a predominance of male patients and age range from 51 to 90 years. Circulatory system diseases were the most prevalent causes of death, followed by respiratory diseases and neoplasms. Among all autopsied cases, it was possible to apply the Goldman revised criteria in 3895 (83.28%) cases and large discrepancies were attributed in 26.39% cases after the use of analysis filter criteria, which suggests the existence of discrepancies between the diagnostic hypothesis and the actual cause of death. It can be concluded that the local DVSi plays an important role in the diagnostic audit, evidenced by the cases that did not present a correlation between the hypothesis in the referral and the final autopsy report. In addition, 1228 (31.53%) cases were referred without hypothesis, that is, without suspicion of the underlying cause of death, highlighting the importance of the DVSi for its definition. Furthermore, the basic cause was solved after performing the autopsy in 99.54% of the total cases analyzed in this study, which reveals the importance of this service for clarification of the cases and its contribution to mortality statistics.

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Value of Keeping Records of Mortality

Abstract: Recording mortality is a way of testing the diagnostic and therapeutic accuracy in our quest for a high quality of care.

Cited by 7 publications

References 10 publications

Can the Incidence of Unplanned Reoperations Be Used as an Indicator of Quality of Care in Surgery?

Can the Incidence of Unplanned Reoperations Be Used as an Indicator of Quality of Care in Surgery?

Estudo da relação entre os diagnósticos clínicos e necroscópicos de <i>causa mortis</i> de pacientes que vieram a óbito no HC-FMRP/USP nos anos de 2010 e 2014

Estudo de casuística e concordância diagnóstica do Serviço de Verificação de Óbitos do Interior (SVOi), em Ribeirão Preto, SP, no período de 2008 a 2012

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