Analysis of Forensic Autopsy in 120 Cases of Medical Disputes Among Different Levels of Institutional Settings |
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| Authors: | Lin‐Sheng Yu M.M. Guang‐Hua Ye M.M. Yan‐Yan Fan Ph.D. Xing‐Biao Li B.M. Xiang‐Ping Feng M.M. Jun‐Ge Han Ph.D. Ke‐Zhi Lin M.M. Miao‐Wu Deng B.M. Feng Li M.D. J.D. Ph.D. |
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| Affiliation: | 1. Department of Forensic Medicine, Wenzhou Medical University, Wenzhou, Zhejiang Province, P. R., China;2. Institute of Forensic Science, Wenzhou Medical University, Wenzhou, Zhejiang Province, P. R., China;3. Forensic Medical Management Services, Nashville, TN |
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| Abstract: | Despite advances in medical science, the causes of death can sometimes only be determined by pathologists after a complete autopsy. Few studies have investigated the importance of forensic autopsy in medically disputed cases among different levels of institutional settings. Our study aimed to analyze forensic autopsy in 120 cases of medical disputes among five levels of institutional settings between 2001 and 2012 in Wenzhou, China. The results showed an overall concordance rate of 55%. Of the 39% of clinically missed diagnosis, cardiovascular pathology comprises 55.32%, while respiratory pathology accounts for the remaining 44. 68%. Factors that increase the likelihood of missed diagnoses were private clinics, community settings, and county hospitals. These results support that autopsy remains an important tool in establishing causes of death in medically disputed case, which may directly determine or exclude the fault of medical care and therefore in helping in resolving these cases. |
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| Keywords: | forensic science forensic autopsy clinical settings medical disputes concordance missed diagnosis misdiagnosis |
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