0 5

Cited 0 times in

A prospective study about the discrepancy between postmortem inspections conducted by emergency physicians and forensic pathologists

Authors
 Ji Yeon Lim  ;  Koo Young Jung  ;  Duk Hee Lee  ;  Kyung-Moo Yang  ;  Minsung Choi  ;  Jong-Pil Park  ;  Jae Hee Lee 
Citation
 JOURNAL OF FORENSIC AND LEGAL MEDICINE, Vol.73 : 101997, 2020-07 
Journal Title
 JOURNAL OF FORENSIC AND LEGAL MEDICINE 
ISSN
 1752-928X 
Issue Date
2020-07
Keywords
Cause of death ; Death investigation system ; Manner of death ; South Korea
Abstract
Background: In South Korea, most postmortem examination certificates (death certificates) are issued by attending physicians working in the emergency department (ED). However, ED overcrowding has made continuous education and quality control of the postmortem examination certificate difficult. In this context, the National Forensic Service (NFS) is conducting an on-site postmortem inspection (OPI) project. Aims: In this study, we analyzed the discrepancy between postmortem inspection conducted by emergency physicians and forensic pathologists and identified the effects of the OPI project. Method: The study examined cases where OPIs were conducted by NFS medical examiners (forensic pathologists) on patients who died on arrival or died in the ED where the OPI project is being conducted. The case reports written by emergency physicians were compared with the postmortem examination certificates written by medical examiners to analyze the discrepancy in cause and manner of death between the two groups. Result: A total of 75 field examinations were conducted during the study period, with a 56% agreement rate between the two groups regarding cause of death. Manner of death was consistent at 73.3% and the most common reason for requesting an OPI was that the cause of death was presumed to be natural, but what that cause may be was unclear. Conclusion: The discrepancy in postmortem examinations between emergency physicians and medical examiners is attributed to various factors. To ensure more reliable postmortem examinations, emphasis should be placed on improving the death investigation system and quality control activities for physicians.
Full Text
https://www.sciencedirect.com/science/article/pii/S1752928X20301049
DOI
10.1016/j.jflm.2020.101997
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Forensic Medicine (법의학과) > 1. Journal Papers
Yonsei Authors
Park, Jong Pil(박종필) ORCID logo https://orcid.org/0000-0002-6525-3012
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179584
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links