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Loss control/risk management. A survey of the contribution of autopsy examination
Abstract:
I surveyed 183 hospitals with medical school pathology residency affiliations regarding their recognition and use of the autopsy in loss control/risk management. Thirty physician-owned, medical society-created professional liability companies and nine other malpractice liability underwriters were also surveyed. The results generally supported my bias for increased use of autopsy information in the field of hospital-risk management. I also examined an opposing minority view. Autopsy surgeons' and hospital administrators' responses supported increased use of autopsies in loss control activities for the following reasons: to eliminate suspicion, to provide reassurance to families, to substitute facts for conjecture, to construct a better defense, to reduce the number of claims, and to improve the quality of care.
Insights
This study highlights the underutilization of autopsy findings in hospital risk management. Increased autopsy use can improve patient care, reduce claims, and provide factual data for defense.
Area of Science:
- Medical administration
- Pathology
- Risk management
Background:
- The autopsy is a crucial tool in medical diagnostics and quality improvement.
- Its role in hospital loss control and risk management is often underutilized.
Purpose of the Study:
- To assess the recognition and utilization of autopsy findings in hospital risk management.
- To explore perspectives on enhancing the role of autopsies in loss control.
Main Methods:
- Surveyed 183 hospitals with pathology residency programs.
- Surveyed 30 physician-owned liability companies and 9 malpractice underwriters.
Main Results:
- Survey results generally supported increased use of autopsy information in hospital risk management.
- Autopsy surgeons and hospital administrators cited benefits like eliminating suspicion, reassuring families, and improving care quality.
Conclusions:
- Autopsies offer significant value in hospital risk management and loss control.
- Expanding autopsy utilization can lead to better patient safety, reduced litigation, and enhanced medical quality.