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AVOIDABLE DEATHS: A SYSTEMATIC REVIEW ON CLINICAL DIAGNOSTIC DISAGREEMENTS AND AFTER AUTOPSIES - Perspectivas em Medicina Legal e Perícias Médicas
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AVOIDABLE DEATHS: A SYSTEMATIC REVIEW ON CLINICAL DIAGNOSTIC DISAGREEMENTS AND AFTER AUTOPSIES

recebido em 10/11/2019, aceito em 20/11/2019

Yuri Franco Trunckle (1)

http://lattes.cnpq.br/2180059850861759 – https://orcid.org/0000-0002-9133-9653

Carmen Silvia Molleis Galego Miziara (2)

http://lattes.cnpq.br/6916238042273197 – https://orcid.org/0000-0002-4266-0117

Daniel Romero Muñoz (3)

http://lattes.cnpq.br/3863004771570436 – https://orcid.org/0000-0002-4042-3070

Ivan Dieb Miziara (4)

http://lattes.cnpq.br/3120760745952876 – https://orcid.org/0000-0001-7180-8873

Ingryd Maturo Andreazzi (5)

http://lattes.cnpq.br/8921241226597473 – https://orcid.org/0000-0003-1478-7572

 

(1) Médico Residente de Medicina Legal e Perícia Médica do Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho da Faculdade de Medicina da Universidade de São Paulo (FMUSP).

(2) Professora da Disciplina de Medicina Legal e Perícia Médica da Faculdade de Medicina do ABC e da Universidade Nove de Julho.

(3) Professor Titular do Departamento de Medicina Legal e Perícia Médica do Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho da Faculdade de Medicina da Universidade de São Paulo (FMUSP).

(4) Professor titular da Faculdade de Medicina do ABC e professor associado do Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho da FMUSP.

(5) Médica Residente de Medicina Legal e Perícia Médica do Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho da Faculdade de Medicina da Universidade de São Paulo (FMUSP).

E-mail: yuriftrunckle@gmail.com

 

ABSTRACT

Introduction: avoidable deaths are those totally or partially preventable by the health service. Despite technological advances in health, studies have shown that there are clinical and post-mortem diagnostic divergences. This study aims to correlate the clinical and pathological diagnoses obtained through the analysis of studies already carried out in the literature, in order to determine the frequency with which the necropsy reveals unexpected diagnoses. Method: Systematic review of the literature by searching the MEDLINE database using the search strategy “Cause of Death” [Mesh]) AND “Medical Errors” [Mesh]) AND “Autopsy” [Mesh]. Results: Twenty-seven articles of retrospective studies and systematic reviews that met the inclusion criteria were included, with a variation from 6% to 82.3% of the diagnostic disagreements found. Conclusion: Although the indices vary, it can be inferred that there are diagnostic disagreements found in the retrospective studies and systematic reviews carried out until then, requiring a greater correlation with the litigation effects of poor medical practice.

Keywords: autopsy, diagnostic error displayed, causes of death.



Yuri.Franco Trunckle

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Carmen Silvia Molleis Galego Miziara

Lattes CNPQ: 6916238042273197

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Daniel Romero Munoz

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Ivan Dieb Miziara

Lattes CNPQ: 3120760745952876

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Ingryd Maturo Andreazzi

Lattes CNPQ: 8921241226597473

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