Woher stammen die Informationen zum Verstorbenen bei der ärztlichen Leichenschau in München? Auswirkungen von Rahmenbedingungen

Gleich, S.; Viehoever, S.; Peschel, O. und Graw, M. (2018): Woher stammen die Informationen zum Verstorbenen bei der ärztlichen Leichenschau in München? Auswirkungen von Rahmenbedingungen. In: Rechtsmedizin, Bd. 28, Nr. 1: S. 10-18

Abstract

Background. A natural death is to be certified after the external examination of the corpse when the patient died of a disease which was treated by a doctor, which made the death foreseeable and if there were no indications of an unnatural death. Method. All Munich death certificates from the 28th to the 48th calendar week in 2016 were prospectively analyzed by the Department of Health and Environment of Munich. If the heading "last treating physician" had not been completed by the physician performing the external examination of the corpse and a natural death had been certified, the death certificate was returned and the physician was asked to provide details of how the information for the certification of a natural death was acquired. The death certificates and response letters were registered in a standardized manner and statistically evaluated. Results. During the study period 5210 death certificates were analyzed. In 343 cases (6.6%) the last physician had not been filled in of which 103 death certificates confirmed a natural death (30%). Of these death certificates 60% had been filled out by clinicians, 30% by residents and 10% by the Munich necropsy service. These three groups showed differences in the following parameters: location of the examination of the corpse, identification and demographic data of the deceased and cause of death. Likewise, the three groups partly differed in the following: willingness to provide information, subsequent modification of the causal chain, features of the last treating physician, as well as available or used sources of information. Particularly with the death certificates filled out by the residents there were further serious errors. The necropsy service showed the best results. Discussion. For the first time, data can be presented on the source from which physicians received the information needed to certify a natural death. In particular, residents and personnel from the necropsy service often have verbal data from third parties as the only source of information. This is of great importance not only for the plausibility check of this information but also for the careful external examination of the deceased. Furthermore, the problem of not carefully filling in the death certificate has not been solved.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0937-9819
• Sprache: Deutsch