[Analysis of the quality of clinical diagnosis based on autopsy data].
The material is based on the autopsy findings collected over 15 years (1975-1989). Findings related to 748 fatal outcomes were subjected to analysis in which 90 (12%) cases were misdiagnosed regarding the principal disease. A percentage of diagnostic errors with respect to tuberculosis was 1.8 on the whole and in the diagnosis of clinical forms and phases it was considerably higher-15.9 and 19.4, respectively. Hyperdiagnosis was typical of disseminated tuberculosis and caseous pneumonia, while hypodiagnosis--of primary, fibrocavernous tuberculosis and post-tuberculous changes. A percentage of hypodiagnosis in nontuberculous pathology varied from 12.5 to 50. Dynamic observation by the five-year plans demonstrated an increase in the percentage of misdiagnosis of the concurrent pathology and its decrease when the phase of a specific process was established. Purely medical errors accounted for 75% of misdiagnosis.
Kalinichev
G A
GA
Volodin
Iu P
IuP
Dobin
V L
VL
D000293:Adolescent; D000328:Adult; D000368:Aged; D001344:Autopsy; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology; D019411:Clinical Laboratory Techniques / Q000592:standards* / Q000706:statistics & numerical data; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology; D011787:Quality of Health Care; D012426:Russia; D014376:Tuberculosis / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology
Analiz kachestva klinicheskoĭ diagnostiki po sektsionnym dannym.