[A clinical and anatomical analysis: reality, problems, ways of improvement]

A clinical and anatomical analysis comprises pre-commission (dissection), commission, and post-commission stages, each of which is characterized by its tasks, resource costs, and organizational forms. Subjective and objective factors influencing the content and efficiency of dissecting operations have been identified and analyzed; patterns affecting the quality of analyses of fatal outcomes have been established. To enhance the demand for and efficiency of postmortem activities, it is appropriate to reconsider a system for monitoring the results of autopsies, specifically, by excluding the categories "discrepancies" and "iatrogenias" from institutional and federal reports, as well as from the list of the quality indices of the work of healthcare organizations, by increasing attention to the analysis of reasons for defects in medical care. The necessity of improving the analysis of fatal outcomes requires that the level of both primary postgraduate and special training of a modern pathologist should be qualitatively increased so that the growing needs of practical medicine are met.