Perceived value of trauma autopsy among trauma medical directors and coroners

Santanello, Steven A.; Dean, Dorothy E.; Hayes, John R.; Bonta, Marco; Groner, Judith A.; Martin, Ludmila Katherine; Sinard, J. M.; Shaffer, Lynn; Bechtel, Nancie

doi:10.1016/j.injury.2007.12.018

Injury

2008

DOI: 10.1016/j.injury.2007.12.018

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Perceived value of trauma autopsy among trauma medical directors and coroners

Steven A. Santanello

Dorothy E. Dean²,

John R. Hayes³

et al.

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Cited by 3 publications

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“…10,[15][16][17][18] It is also unclear if injuries missed correlate to a missed chance for survival. 19,20 Regardless, both the American College of Surgeons and the Pennsylvania Trauma Foundation require that autopsy results be a component of the trauma PR process.…”

mentioning

confidence: 99%

Identifying preventable trauma death: does autopsy serve a role in the peer review process?

Scantling

Teichman

Kucejko

et al. 2017

Journal of Surgical Research

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Autopsy does not identify causes of preventable in an otherwise highly functioning trauma program and may be a poor use of institutional resources. In fact, it adds few diagnoses when death occurs after a full trauma assessment has had time to take place. Autopsy may be of use to identify protocol failure in maturing trauma programs, to give answers to grieving families and in select situations where death was unanticipated even after a full evaluation took place.

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mentioning

confidence: 99%

Identifying preventable trauma death: does autopsy serve a role in the peer review process?

Scantling

Teichman

Kucejko

et al. 2017

Journal of Surgical Research

View full text Add to dashboard Cite

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Perceived value of trauma autopsy among trauma medical directors and coroners

Dries¹

2009

Yearbook of Critical Care Medicine

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Forensic Pathologists and Clinical Trauma Reviews: Performance Improvement, Public Health, and a Concise Autopsy Documentation Guide

Weyrauch,

Nunez,

Borck

et al. 2024

Am J Forensic Med Pathol

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As a powerful tool for discovering and documenting injury, the forensic autopsy has been incorporated into trauma care quality improvement. Autopsy findings are used to determine the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS) to assess a patient's trauma severity. Clinical trauma services use autopsy reports to educate, improve patient care, and strengthen the information used in epidemiological and injury prevention studies. However, there is sometimes a disconnect between the forensic pathologist's injury descriptions and the information needed by the trauma service and for AIS/ISS coding. We formed a collaboration between forensic pathologists and trauma teams to improve this communication. Accordingly, we describe injuries that are commonly overlooked or poorly described in autopsy reports, useful injury terminology, opportunities for trauma care improvement revealed by autopsies, and which medical examiner/coroner cases will most benefit from attention to specific injury details. We demonstrate how differences in injury description impact AIS/ISS results, and distill the detailed AIS manual into a pragmatic, concise, “quick reference” autopsy-directed guide for the forensic pathologist. Collaborations between trauma teams and forensic pathologists benefit each other and help communicate autopsy findings in a more clinically useful way to stakeholders to further benefit the living.

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Perceived value of trauma autopsy among trauma medical directors and coroners

Cited by 3 publications

References 14 publications

Identifying preventable trauma death: does autopsy serve a role in the peer review process?

Identifying preventable trauma death: does autopsy serve a role in the peer review process?

Perceived value of trauma autopsy among trauma medical directors and coroners

Forensic Pathologists and Clinical Trauma Reviews: Performance Improvement, Public Health, and a Concise Autopsy Documentation Guide

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