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Implementation of modern tools in autopsy practice-the way towards contemporary postmortal diagnostics.

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cris.virtual.author-orcid0000-0001-9491-3609
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cris.virtualsource.author-orciddf37ba4d-d8a0-4700-b1bb-891cb924e7d3
dc.contributor.authorLanger, Rupert
dc.contributor.authorTröhler, Alexandra
dc.contributor.authorSchnüriger, Beat
dc.contributor.authorPerren, Aurel
dc.contributor.authorBlank, Annika
dc.contributor.authorBanz Wälti, Yara Sarah
dc.contributor.authorTrippel, Mafalda Arasceli
dc.contributor.authorCandinas, Daniel
dc.contributor.authorLugli, Alessandro
dc.date.accessioned2024-10-07T16:37:35Z
dc.date.available2024-10-07T16:37:35Z
dc.date.issued2019-02
dc.description.abstractMedical, legal, and socioeconomic issues have contributed to the decline of autopsy rates. Pathology-related factors, however, with changing clinical duties on the one hand and decreasing interest and lack of substantial technical developments in this field on the other, may have contributed to this condition as well. We present our experience of a restructuring project that culminated in the introduction of a modernized postmortal diagnostic (PMD) unit: Workflows of PMD procedures and space organization were restructured according to LEAN management principles method. Classical autopsy suites were transformed into postmortal operating rooms. A PMD pathologist staff was designated to perform postmortal operative diagnostics (i.e., using laparotomy and thoracotomy approaches) with the intention of gradually replacing classical autopsy procedures. Postmortal minimal invasive diagnostics (PMID) using laparoscopy and thoracoscopy were successfully implemented with the expertise of clinical colleagues. Reorganization of workflow reduced turn-around times for PMD reports from a median of 33 days to 15 days. Short-term analysis revealed that this combined effort leads to a slight increase in the number of adult postmortal examinations 1 year after the introduction of this project. A change of culture in postmortal diagnostics may contribute to a better reputation of postmortal examinations from the perspective of clinicians, the general public, and affected relatives of the deceased. It may also serve to demonstrate that the pathology community is keen not only to preserve but also to further develop this valuable tool for medical quality control and education.
dc.description.note#ppe
dc.description.numberOfPages10
dc.description.sponsorshipInstitut für Pathologie
dc.description.sponsorshipUniversitätsklinik für Viszerale Chirurgie und Medizin, Viszeral- und Transplantationschirurgie
dc.description.sponsorshipInstitut für Pathologie, Klinische Pathologie
dc.description.sponsorshipUniversitätsklinik für Viszerale Chirurgie und Medizin
dc.identifier.doi10.7892/boris.121505
dc.identifier.pmid30426205
dc.identifier.publisherDOI10.1007/s00428-018-2482-2
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/60783
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofVirchows Archiv
dc.relation.issn0945-6317
dc.relation.organizationDCD5A442BC42E17DE0405C82790C4DE2
dc.relation.organizationDCD5A442C1F6E17DE0405C82790C4DE2
dc.relation.organizationDCD5A442C059E17DE0405C82790C4DE2
dc.relation.organizationDCD5A442BF89E17DE0405C82790C4DE2
dc.relation.organizationDCD5A442BE2AE17DE0405C82790C4DE2
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.subject.ddc500 - Science::570 - Life sciences; biology
dc.titleImplementation of modern tools in autopsy practice-the way towards contemporary postmortal diagnostics.
dc.typearticle
dspace.entity.typePublication
dspace.file.typetext
oaire.citation.endPage158
oaire.citation.issue2
oaire.citation.startPage149
oaire.citation.volume474
oairecerif.author.affiliationInstitut für Pathologie
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oairecerif.author.affiliationUniversitätsklinik für Viszerale Chirurgie und Medizin, Viszeral- und Transplantationschirurgie
oairecerif.author.affiliationInstitut für Pathologie
oairecerif.author.affiliationInstitut für Pathologie, Klinische Pathologie
oairecerif.author.affiliationInstitut für Pathologie
oairecerif.author.affiliationInstitut für Pathologie, Klinische Pathologie
oairecerif.author.affiliationUniversitätsklinik für Viszerale Chirurgie und Medizin
oairecerif.author.affiliationInstitut für Pathologie
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oairecerif.author.affiliation2Department for BioMedical Research, Forschungsgruppe Viszeralchirurgie
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oairecerif.author.affiliation2Universitätsklinik für Viszerale Chirurgie und Medizin, Viszeral- und Transplantationschirurgie
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oairecerif.author.affiliation3Department for BioMedical Research, Forschungsgruppe Viszeralchirurgie
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unibe.date.embargoChanged2022-11-14 23:25:02
unibe.date.licenseChanged2019-10-25 21:54:50
unibe.description.ispublishedpub
unibe.eprints.legacyId121505
unibe.journal.abbrevTitleVIRCHOWS ARCH
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