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

Title
A prospective study about the discrepancy between postmortem inspections conducted by emergency physicians and forensic pathologists
Authors
Lim, Ji YeonJung, Koo YoungLee, Duk HeeYang, Kyung-mooChoi, MinsungPark, Jong-PilLee, Jae Hee
Ewha Authors
정구영이덕희이재희
SCOPUS Author ID
정구영scopus; 이덕희scopus
Issue Date
2020
Journal Title
JOURNAL OF FORENSIC AND LEGAL MEDICINE
ISSN
1752-928XJCR Link

1532-2009JCR Link
Citation
JOURNAL OF FORENSIC AND LEGAL MEDICINE vol. 73
Keywords
Death investigation systemCause of deathManner of deathSouth Korea
Publisher
ELSEVIER SCI LTD
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
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.
DOI
10.1016/j.jflm.2020.101997
Appears in Collections:
의과대학 > 의학과 > Journal papers
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