ASSESMENT OF THE RELIABILITY OF FEDERAL STATISTICAL MONITORING DATA ON THE NUMBER AND STRUCTURE OF DIVERGENCES IN THE FINAL CLINICAL AND MEDICO-LEGAL DIAGNOSES

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Objectives. To examine the objectivity and reliability of the branch statistical reporting on the number of deaths and divergences of the final clinical and medico-legal diagnoses in the hospitals of the Moscow region.

Material and methods. We have investigated materials of the Bureau of Forensic Medical Expertise of Moscow Region and data of the Federal statistical monitoring № 14 «Information on the activities of the inpatient care units’ in the Moscow region in 2018. It was the sampling inquiry. The causes of death were grouped by classes and nosologiсal entities of ICD‑10. Research methods: documentary, statistical and analytical. Descriptive statistics of the absolute and relative values.

Results. Significant differences between the data of Federal statistical monitoring No. 14 and the Bureau of Forensic Medical Expertise of Moscow Region were established both in the number of medico-legal examinations in relation to individual entities and in the number of established divergences of diagnoses.

Conclusion. The form of Federal statistical monitoring No. 14 provides biased information in the section of information on cases subjected to forensic autopsy: input errors are 90 %.

作者简介

A. Maksimov

Bureau of Forensic Medical Expertise of Moscow Region; Department of Forensic Medicine, M. F. Vladimirskii Moscow Regional Research and Clinical Institute

Email: maksimov@sudmedmo.ru
ORCID iD: 0000-0003-1936-4448

Aleksandr V. Maksimov, Cand. Sci. (Med.), Ass. Prof., Bureau of Forensic Medical Expertise of Moscow Region

AuthorID: 848828

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S. Kuchuk

Bureau of Forensic Medical Expertise of Moscow Region; Department of Forensic Medicine, M. F. Vladimirskii Moscow Regional Research and Clinical Institute

编辑信件的主要联系方式.
Email: kuchuk@sudmedmo.ru
ORCID iD: 0000-0002-4778-5090

Sergei A. Kuchuk, Cand. Sci. (Med.), Ass. Prof., Bureau of Forensic Medical Expertise of Moscow Region

AuthorID: 363290

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参考

  1. Черкасов С. Н., Мешков Д. О., Берсенева Е. А., Федяева А. В., Олейникова В. С., Кучук С. А., Максимов А. В. Семейство международных классификаций на современном этапе развития российского здравоохранения. Судебная медицина. 2018;4(3):43-
  2. [Cherkasov S. N., Meshkov D. O., Berseneva E. A., Fedyayeva A. V., Oleinikova V. S., Kuchuk S. A., Maksimov A. V. Family of international classifications at the modern stage of healthcare development in Russia. Russian Journal of Forensic Medicine. 2018;4(3):43-46. (In Russ.)] https://doi.org/10.19048/2411-8729-2018-4-3-43-46.
  3. Вайсман Д. Ш. Кодирование и выбор первоначальной причины смерти при травмах и отравлениях в соответствии с обновлениями ВОЗ. Судебная медицина. 2015;1(3):17-20. [Vaisman D. Sh. Сoding and selection of the underlying cause of death for injuries and poisonings in accordance with ICD‑10 updates. Russian Journal of Forensic Medicine. 2015;1(3):17-20. (In Russ.)] https://doi.org/10.19048/2411-8729-2015-1-3-17-20.
  4. Кучук С. А., Максимов А. В. Проблемы формирования достоверной статистической отчетности причин смерти. Судебная медицина. 2016;2(3):17-19. [Kuchuk S. A., Maksimov A. V. The problem of forming accurate statistical reporting of causes of death. Russian Journal of Forensic Medicine. 2016;2(3):17-19. (In Russ.)] https://doi.org/10.19048/2411-8729-2016-2-3-17-19
  5. Максимов А. В. Проблемы клинико-анатомического анализа летальных исходов. Судебная медицина. 2018;4(1):4-7. [Maksimov A. V. Problems of clinical-anatomical analysis of lethal outcomes. Russian Journal of Forensic Medicine. 2018;4(1):4-7. (In Russ.)] https://doi.org/10.19048/2411-8729-2018-4-1-4-7.
  6. Kozar R. A, Holcomb J. B, Xiong W., Nathens A. B. Are all deaths recorded equally? The impact of hospice care on risk-adjusted mortality. J Trauma Acute Care Surg. 2014;76(3):634-639; discussion 639-641. https://doi.org/10.1097/TA.0000000000000130.
  7. Клевно В. А., Максимов А. В. Кучук С. А. и др. Сопоставление клинического и судебно-медицинского диагнозов по материалам Бюро судебно-медицинской экспертизы Московской области в 2018 году: ежегодный бюллетень. М.: Ассоциация СМЭ; 2019. [Klevno V. A., Maksimov A. V., Kuchuk S. A., et al. Сomparison of clinical and forensic diagnoses according to the materials of the Bureau of Forensic Medical Expertise of Moscow Region in 2018: annual bulletin. Moscow: Association of Forensic Medical Experts; 2019. (In Russ.)].

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