MEDICAL UNCERTAINTY AND THE AUTOPSY - OCCULT BENEFITS FOR STUDENTS

被引:43
作者
ANDERSON, RE
FOX, RC
HILL, RB
机构
[1] SUNY HLTH SCI CTR,DEPT PATHOL,SYRACUSE,NY
[2] UNIV PENN,SCH ARTS & SCI,DEPT SOCIOL,PHILADELPHIA,PA 19104
关键词
autopsy; medical education; medical error; uncertainty;
D O I
10.1016/0046-8177(90)90120-T
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
The autopsy has been of great importance in educating students regarding medical uncertainty. The marked decline in the use of the autopsy in medical education and continuing education has contributed significantly to the current discomfort among physicians regarding medical uncertainty and medical errors, which, in turn, has furthered the decline of the autopsy. Inordinate guilt, denial, and other defensive behaviors that many physicians marshall in response to uncertainty and error prevent these individuals from learning from their mistakes. The autopsy experience during medical school, properly utilized, helps students to confront fallibility and sets the stage for later successful management of uncertainty and error. © 1990.
引用
收藏
页码:128 / 135
页数:8
相关论文
共 26 条
  • [1] ANDERSON RE, 1984, ARCH PATHOL LAB MED, V108, P490
  • [2] THE SENSITIVITY AND SPECIFICITY OF CLINICAL DIAGNOSTICS DURING 5 DECADES - TOWARD AN UNDERSTANDING OF NECESSARY FALLIBILITY
    ANDERSON, RE
    HILL, RB
    KEY, CR
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (11): : 1610 - 1617
  • [3] ANDERSON RE, 1989, AM J CLIN PATHOL S1, V92, P531
  • [4] [Anonymous], 1984, QUALITY TEARS
  • [5] FACTORS INFLUENCING DISCREPANCIES BETWEEN PREMORTEM AND POSTMORTEM DIAGNOSES
    BATTLE, RM
    PATHAK, D
    HUMBLE, CG
    KEY, CR
    VANATTA, PR
    HILL, RB
    ANDERSON, RE
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1987, 258 (03): : 339 - 344
  • [6] CONTINUOUS IMPROVEMENT AS AN IDEAL IN HEALTH-CARE
    BERWICK, DM
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (01) : 53 - 56
  • [7] OCCUPATIONAL RITUALS IN PATIENT-MANAGEMENT
    BOSK, CL
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1980, 303 (02) : 71 - 76
  • [8] COHEN M, 1984, NEW ENGL J MED, V310, P1266
  • [9] CROSBY LA, 1988, PIECE MY MIND, P42
  • [10] DAN BB, 1988, PIECE MY MIND COLLEC