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Related Experiment Videos

Who asks permission for an autopsy?

J Chana1, R Rhys-Maitland, P Hon

  • 1Department of Epidemiology and Preventive Medicine, Medical College of St Bartholomew's Hospital, London.

Journal of the Royal College of Physicians of London
|July 1, 1990
PubMed
Summary

Autopsy permission processes vary significantly across hospitals, often delegated to untrained junior doctors. Training staff and using sensitive lay personnel can improve autopsy consent rates, addressing declining autopsy trends.

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Area of Science:

  • Medical research
  • Pathology
  • Hospital administration

Background:

  • Autopsy rates have been declining.
  • Understanding the process of obtaining consent for autopsies is crucial.

Purpose of the Study:

  • To investigate methods of obtaining autopsy permission in hospitals.
  • To explore reasons behind the decline in autopsy rates.

Main Methods:

  • Survey of hospitals with over 400 beds in the North East Thames Region.
  • Interviews with hospital consultants and analysis of autopsy consent procedures.

Main Results:

  • Significant variation in autopsy rates and consent systems across hospitals.
  • Autopsy consent requests are frequently delegated to untrained junior doctors.

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  • Trained, sensitive lay personnel can achieve higher consent rates.
  • Consultants reported requesting fewer autopsies over time.
  • Pathologists have reduced pre-autopsy clinician contact.
  • Conclusions:

    • Current autopsy consent procedures are inconsistent and often lack adequate training.
    • There is a need for improved training and potentially different personnel for obtaining autopsy consent.
    • Declining autopsy rates may be linked to changes in clinical practice and communication between clinicians and pathologists.