{"title":"医源性死亡:一项25年的法医尸检回顾性研究","authors":"Pernille Østergaard Petersen, L. Boel","doi":"10.2478/sjfs-2019-0004","DOIUrl":null,"url":null,"abstract":"Abstract Background: It is stipulated in the Danish Health Act that any death which could be caused by a mistake, neglect or accident in relation to treatment or prophylaxis should be reported to the police. It is then within the power of the police to request a medicolegal autopsy. Aim: To profile the possible iatrogenic deaths in relation to different characteristics. Methods: All cases from 1992 to 2015 registered as doctor’s malpractice were selected. Cases from 2016 were selected based on the autopsy introduction. Included cases were analyzed focusing on different characteristics: type of iatrogenic event, responsible medical professional, place of death, cause of death. Results: A total of 275, i.e. 2.5% possible iatrogenic deaths out of a total of 11,143 autopsies were included. The most frequent type of iatrogenic event was negligence (42.2%). Most often a hospital doctor was the responsible party including surgeons (40%) and physicians (13.5%). The three most common causes of death were cardiovascular disease (22.2%), infection/inflammation (17.8%) and hemorrhage (16%). Conclusion: The results from this study can contribute to the knowledge of what to be aware of when dealing with the death of a person who has been in contact with the health care system.","PeriodicalId":41138,"journal":{"name":"Scandinavian Journal of Forensic Science","volume":"1 1","pages":"14 - 19"},"PeriodicalIF":1.0000,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Iatrogenic deaths: A 25-year retrospective study of medicolegal autopsies\",\"authors\":\"Pernille Østergaard Petersen, L. Boel\",\"doi\":\"10.2478/sjfs-2019-0004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract Background: It is stipulated in the Danish Health Act that any death which could be caused by a mistake, neglect or accident in relation to treatment or prophylaxis should be reported to the police. It is then within the power of the police to request a medicolegal autopsy. Aim: To profile the possible iatrogenic deaths in relation to different characteristics. Methods: All cases from 1992 to 2015 registered as doctor’s malpractice were selected. Cases from 2016 were selected based on the autopsy introduction. Included cases were analyzed focusing on different characteristics: type of iatrogenic event, responsible medical professional, place of death, cause of death. Results: A total of 275, i.e. 2.5% possible iatrogenic deaths out of a total of 11,143 autopsies were included. The most frequent type of iatrogenic event was negligence (42.2%). Most often a hospital doctor was the responsible party including surgeons (40%) and physicians (13.5%). The three most common causes of death were cardiovascular disease (22.2%), infection/inflammation (17.8%) and hemorrhage (16%). Conclusion: The results from this study can contribute to the knowledge of what to be aware of when dealing with the death of a person who has been in contact with the health care system.\",\"PeriodicalId\":41138,\"journal\":{\"name\":\"Scandinavian Journal of Forensic Science\",\"volume\":\"1 1\",\"pages\":\"14 - 19\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2019-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Scandinavian Journal of Forensic Science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2478/sjfs-2019-0004\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, LEGAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scandinavian Journal of Forensic Science","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2478/sjfs-2019-0004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, LEGAL","Score":null,"Total":0}
Iatrogenic deaths: A 25-year retrospective study of medicolegal autopsies
Abstract Background: It is stipulated in the Danish Health Act that any death which could be caused by a mistake, neglect or accident in relation to treatment or prophylaxis should be reported to the police. It is then within the power of the police to request a medicolegal autopsy. Aim: To profile the possible iatrogenic deaths in relation to different characteristics. Methods: All cases from 1992 to 2015 registered as doctor’s malpractice were selected. Cases from 2016 were selected based on the autopsy introduction. Included cases were analyzed focusing on different characteristics: type of iatrogenic event, responsible medical professional, place of death, cause of death. Results: A total of 275, i.e. 2.5% possible iatrogenic deaths out of a total of 11,143 autopsies were included. The most frequent type of iatrogenic event was negligence (42.2%). Most often a hospital doctor was the responsible party including surgeons (40%) and physicians (13.5%). The three most common causes of death were cardiovascular disease (22.2%), infection/inflammation (17.8%) and hemorrhage (16%). Conclusion: The results from this study can contribute to the knowledge of what to be aware of when dealing with the death of a person who has been in contact with the health care system.