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

Cover Page


Cite item

Full Text

Abstract

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 %.

About the authors

A. V. 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

Россия

S. A. Kuchuk

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

Author for correspondence.
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

Россия

References

  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.)].

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2019 Maksimov A.V., Kuchuk S.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 60835 выдано 09.09.2021 г. 
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 – 59181 выдано 03.09.2014
г.



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies