Table of Contents
Perspective. Autopsies in Everyday Life: Learning from Experience
Part I Evolution of the Autopsy: Changing Goals and Purposes
1 Autopsy Practice Today
The Procedure. Hazards. Costs.
2 The Recent History of the Autopsy
Evolution of the Modern Autopsy. Autopsy as the Source of Scientific Medicine. Present and Future, Decline and Evolution.
3 Contributions of the Autopsy to Modem Medical Science and Practice
Myocardial Infarct, a Paradigm of Discovery through Autopsy. Advances in Medical Science Provided by Autopsy. Medical Education. Quality Assessment.
4 Missed Diagnoses: Toward an Understanding of Diagnostic Discrepancies
Definitions. How Serious Are Diagnostic Discrepancies.? How Frequent Are Discrepant Diagnoses.? Impact of New Technology on Diagnostic Accuracy. Physician-related Factors. Other Factors. Sensitivity and Specificity of Clinical Diagnostics. Autopsy as Reference Value. Final Comments.
5. Contributions of Autopsy to Modem Neurologic Science
Historical Role of the Autopsy in the Development of Neurology. The Autopsy in Neuropathology Today. The Future of Autopsy in Neuropathology.
6. Contributions of Autopsy to Modem Forensic Medicine
Overview: Definitions and Procedures. History of Forensic Pathology. The Forensic Pathologist. Cause of Death. Identification of the Remains. Education. Other Purposes. Forensic Pathology and the Decline of the Autopsy.
7. Contributions of Autopsy to Society
Benefits to the Family. Benefits to the Public Welfare.
Part Π Decline of the Autopsy
8 The Rise and Fall of the Autopsy
9 Decline of the Autopsy: Reasons in Society
Public Policy and Medicine. Fees. Autopsy Rate Requirements. Death Certification and Health Statistics. Families. Religion. Consent.
10 Decline of the Autopsy: Reasons in Pathology
Autopsy Reporting. Autopsy Technique. Quality Control of Autopsy. The Art of Autopsy. Autopsy Demeaned. Autopsists. One-upmanship and Physician Egos. Ignorance of N ew Uses of Autopsy.
11 Decline of the Autopsy: Reasons in Clinical Medicine
Medical Practice and Theory. The Physicians. Medical Education. Medical Administration. The Bottom Line.
12 Perceptions of Clinicians: It Is the Autopsy That Makes the Case Lively
Previous Literature. Studies with Chairmen of Internal Medicine and Surgery. Responses to Questionnaire. Comments. Differences between Surgeons and Internists. Overconfidence. Communications. Education. Overconfidence Revisited.
Part III The Future of the Autopsy
13 Public Policy and the Autopsy
De Facto Autopsy Policy of the Past. The Present Need. Institute of Medicine
14 Autopsy Objectives Revisited
Evolution of Purposes of the Autopsy. Goals for the Future. Quality Assurance. Education. Discovery and Behavior Modification. Society. Physicians and Medical Practice. Families. Conclusions.
15 Thoughts for the Future
Evolution and Change. Recommendations. Autopsy Practice. Education. Public Policy. Office of Decedent Affairs. Research. Who Pays.? Trainees. Epilogue.
- No. of pages: 320
- Language: English
- Copyright: © Butterworth-Heinemann 1988
- Published: August 17, 1988
- Imprint: Butterworth-Heinemann
- eBook ISBN: 9781483192635
About the Authors
Rolla B. Hill
Robert E. Anderson
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