Information de reference pour ce titreAccession Number: | 00000433-199709000-00002.
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Author: | Goodin, Julia M.D.; Hanzlick, Randy M.D.
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Institution: | From the Office of the Chief Medical Investigator, University of New Mexico School of Medicine (J.G.), Albuquerque, New Mexico (J.G.); and Department of Forensic Pathology, Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia (R.H.), U.S.A.
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Title: | Mind Your Manners: Part II: General Results From the National Association of Medical Examiners Manner of Death Questionnaire, 1995.[Article]
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Source: | American Journal of Forensic Medicine & Pathology. 18(3):224-227, September 1997.
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Abstract: | More than 700 physician medical examiner/coroners (ME/Cs) were surveyed to assess differences in manner of death classifications for typical but often controversial death scenarios: 198 physicians participated by choosing the manner of death (homicide, suicide, accident, natural, undetermined) for 23 such scenarios. Sixteen questions related to death certificate training, work location, and manner of death issues were also asked. The classification of manner of death by ME/Cs was highly variable. For some challenging death scenarios, majority agreement was lacking. Agreement was >=80% for only 11 of the 23 scenarios and was 100% for only 1. Manner of death classification method was not influenced by forensic pathology board certification status, by whether or not the physician actually completed death certificates, or by previous threats of lawsuits over manner of death classification. However, there were some differences by state. No textbook or individual was widely recognized as authoritative on manner of death issues. Few ME/Cs had formal death certification training in medical school or residency. The data lend credence to the practice of the National Center for Health Statistics (NCHS) of classifying manner of death for statistical purposes by using coding and classification rules and selection criteria rather than solely on the basis of the classification of manner chosen by ME/Cs. The data also indicate that caution is in order when one compares manner of death statistics of one ME/C with those of another. Published guidelines and more uniform training are needed so that ME/Cs may become more consistent in their manner of death classifications. Further information is presented in Part I (history of manner of death classification) and in Part III (individual death scenarios and their analysis) companion articles in this issue of the Journal.
(C) Lippincott-Raven Publishers.
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Author Keywords: | Manner of death; Vital statistics; Medical examiners; Coroners; Death certificate; Cause of death.
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References: | 1. Hanzlick R. Death certificates: the need for further guidance. Am J Forensic Med Pathol 1993;14:249-52.
2. Hirsch C, Flomenbaum M. Forensic pathology check sample FP 95-1: problem solving in death certification. Chicago: American Society of Clinical Pathologists, 1995.
3. Reay D. Editorial Comment. In: Hirsch C, Flomenbaum M. Forensic pathology check sample FP 95-1: problem solving in death certification. Chicago: American Society of Clinical Pathologists, 1995.
4. Hanzlick R, Goodin J. Mind your manners. Part III: individual scenario results and discussion of the National Association of Medical Examiners manner of death questionnaire, 1995. Am J Forensic Med Pathol 1997;18:228-45.
5. Davis GG. Mind your manners. Part I: history of death certification and manner of death classification. Am J Forensic Med Pathol 1997;18:219-23.
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Language: | English.
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Document Type: | Articles.
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Journal Subset: | Clinical Medicine.
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ISSN: | 0195-7910
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NLM Journal Code: | 3hc, 8108948
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Annotation(s) | |