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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Does peer consultation between forensic physicians reduce inter-doctor variation when issuing medical death
U J L Reijnders1, K Bakker1, I J S Schuitmaker1
1Department of Forensic Medicine, Amsterdam Public Health Service, the Netherlands.
Journal of Forensic and Legal Medicine
|July 2, 2021
Summary
Peer consultation among forensic physicians improved the accuracy of advice to treating physicians and conclusions on the manner of death. This quality assurance method is recommended for forensic practice.
Area of Science:
- Forensic Medicine
- Medical Quality Assurance
Background:
- Previous research indicated inaccuracies in forensic physicians' interpretation and handling of deaths.
- Peer consultation was implemented to enhance accuracy in death manner conclusions and advice to treating physicians.
Purpose of the Study:
- To evaluate the impact of peer consultation on the accuracy of advice provided by forensic physicians to treating physicians.
- To assess the effect of peer consultation on the correctness of conclusions regarding the manner of death during external post-mortem examinations.
Main Methods:
- Retrospective analysis of 498 external post-mortem examination reports.
- Retrospective analysis of 167 telephonic consultations between treating physicians and forensic physicians.
Main Results:
- Peer consultation occurred in 70% of telephonic consultations and 67% of external post-mortem examinations.
- Advice accuracy to treating physicians was 92% in telephonic consultations.
- Conclusions on the manner of death were accurate in 99% of external post-mortem examinations.
Conclusions:
- Introduction of peer consultation significantly improved the accuracy of advice from forensic physicians.
- Peer consultation is a valuable tool for quality assurance in forensic medicine and should be recommended.
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