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[Qualified post-mortem examination-experiences from Bremen].

Olaf Cordes1

  • 1Instituts für Rechtsmedizin, Klinikum Bremen-Mitte, St.-Jürgen-Str. 1, 28177, Bremen, Deutschland. olaf.cordes@gesundheitnord.de.

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|November 6, 2019
PubMed
Summary
This summary is machine-generated.

Bremen

Keywords:
AutopsyCause of deathManner of deathPost-mortem examinationQualification

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Area of Science:

  • Forensic Pathology
  • Medical Law
  • Public Health Policy

Background:

  • New legislation in Bremen on August 1, 2017, separated death determination from post-mortem examinations.
  • The Institute for Legal Medicine (IRM) in Bremen was assigned to conduct qualified post-mortem examinations.

Purpose of the Study:

  • To present the practical implementation, challenges, and outcomes of Bremen's new qualified post-mortem examination law.
  • To statistically evaluate the qualified post-mortem examinations conducted in 2018.

Main Methods:

  • Statistical analysis of 7585 qualified post-mortem examinations performed in 2018.
  • Review of practical implementation, including challenges and advantages/disadvantages.

Main Results:

  • In 2018, 7585 qualified post-mortem examinations were conducted by the IRM.
  • Approximately 4% (nearly 300 cases) required a change in the classification of death (natural/unnatural).
  • Identified challenges include external undertaker involvement, anamnesis collection, post-weekend examinations, and limited scene information.

Conclusions:

  • The new law ensures prompt post-mortem examinations by qualified physicians, improving overall examination quality.
  • Challenges persist, particularly concerning external factors and determining the cause of death in external examinations.
  • Increased costs are a noted disadvantage of the new system.