ABSTRACT
The paper concerns the problems facing pathologic anatomy service in Moscow. It is stated that the service needs reorganization. The advances in methodology, staffing, continued training, salary system, connections with other services should be accomplished.
Subject(s)
Pathology Department, Hospital/trends , Autopsy/standards , Biopsy/standards , Biopsy/trends , Hospitals, Urban/organization & administration , Hospitals, Urban/standards , Hospitals, Urban/trends , Humans , Moscow , Pathology Department, Hospital/organization & administration , Pathology Department, Hospital/standards , WorkforceABSTRACT
Discrepancies between clinical and pathological diagnoses (classes 1-3) attributed to subjective factors have been analyzed for the period 1981-1985. The investigation pooled the data from three largest Moscow hospitals: S. P. Botkin, No. 1 and 7. Subjective misdiagnosis comprises from 34 to 45.6% of overall diagnostic discrepancies. As a rule, it resulted from inadequate clinical examination, underestimation of clinical evidence, overestimation of anamnestic data, misinterpretation of laboratory findings and those of consulting physicians as well as provided by adjuvant investigations. The errors of the above kind are most typical for patients over 60. The authors refer these diagnostic discrepancies to iatrogenesis.