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[PMID]:29393310
[Au] Autor:Jiang Y; McDonald JV; Wilson ME; Koziol J; Goldschmidt A; King E; Viner-Brown S; Powell SM; Alexander-Scott N
[Ad] Endereço:Senior Public Health Epidemiologist in the Center for Health Data and Analysis at the Rhode Island Department of Health, and Assistant Professor of the Practice of Epidemiology, School of Public Health, Brown University.
[Ti] Título:Rhode Island Unintentional Drug Overdose Death Trends and Ranking - Office of the State Medical Examiners Database.
[So] Source:R I Med J (2013);101(1):33-36, 2018 Feb 02.
[Is] ISSN:2327-2228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:[Full article available at http://rimed.org/rimedicaljournal-2018-02.asp].
[Mh] Termos MeSH primário: Overdose de Drogas/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Médicos Legistas
Bases de Dados Factuais
Feminino
Seres Humanos
Modelos Lineares
Masculino
Meia-Idade
Rhode Island/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


  2 / 1710 MEDLINE  
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[PMID]:29236436
[Au] Autor:Starr L
[Ti] Título:FAILING TO IDENTIFY AND RESPOND TO THE DETERIORATING PATIENT: A CASE FOR THE CORONER.
[So] Source:Aust Nurs Midwifery J;24(1):31, 2016 07.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The Coroners Court is a unique court that fulfills an important function in our legal system--determining the manner and cause of death of those who have died in unexpected or unexplained circumstances. With broad powers of investigation the Coroner through the coronial process will make findings and recommendations regarding the death or suspected deaths of individuals in their particular circumstances.
[Mh] Termos MeSH primário: Médicos Legistas
Transferência da Responsabilidade pelo Paciente
Embolia Pulmonar/etiologia
Embolia Pulmonar/mortalidade
Trombose Venosa/complicações
[Mh] Termos MeSH secundário: Adulto
Apendicectomia
Causas de Morte
Seres Humanos
Jurisprudência
Masculino
Oxigenoterapia
Queensland
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  3 / 1710 MEDLINE  
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[PMID]:28763711
[Au] Autor:Charles A; Cross W; Griffiths D
[Ad] Endereço:Nursing and Allied Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria 3800, Australia. Electronic address: Ajcha17@student.monash.edu.
[Ti] Título:What do clinicians understand about deaths reportable to the Coroner?
[So] Source:J Forensic Leg Med;51:76-80, 2017 Oct.
[Is] ISSN:1878-7487
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:SETTING: The study setting is a tertiary referral hospital of over 980 beds, in Victoria, Australia. The hospital is a long established major academic public health service providing healthcare, health professional education and health research. The hospital has 103,756 in-patient admissions, 190,756 outpatient attendances and over 82,000 presentations to the Emergency Department annually. PARTICIPANTS: 22 clinicians completed an in-depth, audio-recorded interview: 12 medical and 10 nursing staff, with a variety of clinical experience. INTERVENTION(S): Each audio recorded interview was transcribed verbatim for thematic analysis. The semi structured questions were designed to explore the clinician's understanding of deaths that meet the criteria to be reported to Coroners Court of Victoria (CCOV), and why such reporting was required. There was also the opportunity to identify any barriers or enablers to the reporting process, whether internal or external to the organisation. RESULTS: Two main themes emerged from the interviews: 1. lack of awareness of which deaths are reportable to the coroner and 2. the need for educational support. Several subthemes were also identified such as accountability, the need for feedback and blame. DISCUSSION: The understanding of clinicians as to which deaths meet the reportable criteria in healthcare is quite variable and this indicates that there might be a level of under reporting. Apart from the potential of not meeting legal obligations, there may also be the loss of a valuable opportunity for lessons to inform clinical practice and enhance the delivery of safe patient care.
[Mh] Termos MeSH primário: Médicos Legistas
Morte
Corpo Clínico Hospitalar
Recursos Humanos de Enfermagem no Hospital
[Mh] Termos MeSH secundário: Austrália
Competência Clínica
Seres Humanos
Entrevistas como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170802
[St] Status:MEDLINE


  4 / 1710 MEDLINE  
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[PMID]:28759406
[Au] Autor:Shapiro-Mendoza CK; Parks SE; Brustrom J; Andrew T; Camperlengo L; Fudenberg J; Payn B; Rhoda D
[Ad] Endereço:Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia; ayn9@cdc.gov.
[Ti] Título:Variations in Cause-of-Death Determination for Sudden Unexpected Infant Deaths.
[So] Source:Pediatrics;140(1), 2017 Jul.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To quantify and describe variation in cause-of-death certification of sudden unexpected infant deaths (SUIDs) among US medical examiners and coroners. METHODS: From January to November 2014, we conducted a nationally representative survey of US medical examiners and coroners who certify infant deaths. Two-stage unequal probability sampling with replacement was used. Medical examiners and coroners were asked to classify SUIDs based on hypothetical scenarios and to describe the evidence considered and investigative procedures used for cause-of-death determination. Frequencies and weighted percentages were calculated. RESULTS: Of the 801 surveys mailed, 60% were returned, and 377 were deemed eligible and complete. Medical examiners and coroners classification of infant deaths varied by scenario. For 3 scenarios portraying potential airway obstruction and negative autopsy findings, 61% to 69% classified the death as suffocation/asphyxia. In the last scenario, which portrayed a healthy infant in a safe sleep environment with negative autopsy findings, medical examiners and coroners classified the death as sudden infant death syndrome (38%) and SUID (30%). Reliance on investigative procedures to determine cause varied, but 94% indicated using death scene investigations, 88% full autopsy, 85% toxicology analyses, and 82% medical history review. CONCLUSIONS: US medical examiners and coroners apply variable practices to classify and investigate SUID, and thus, they certify the same deaths differently. This variability influences surveillance and research, impacts true understanding of infant mortality causes, and inhibits our ability to accurately monitor and ultimately prevent future deaths. Findings may inform future strategies for promoting standardized practices for SUID classification.
[Mh] Termos MeSH primário: Causas de Morte
Morte Súbita do Lactente/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Idoso
Médicos Legistas
Estudos Transversais
Atestado de Óbito
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170916
[Lr] Data última revisão:
170916
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE


  5 / 1710 MEDLINE  
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[PMID]:28686103
[Au] Autor:Griffith R
[Ad] Endereço:Senior Lecturer in Health Law, College of Health Science, Swansea University.
[Ti] Título:Reporting deaths to the coroner.
[So] Source:Br J Community Nurs;22(7):357-359, 2017 Jul 02.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The Chief Coroner has issued new guidance in relation to death where the person is subject to a deprivation of liberty safeguards standard authorisation ( Chief Coroner, 2017 ). In this article, Richard Griffith discusses the impact of the Police and Crime Act 2017, section 178 on the need to report deaths of patients' subject to a deprivation of liberty safeguards standard authorisation to the coroner.
[Mh] Termos MeSH primário: Enfermagem em Saúde Comunitária
Médicos Legistas
Morte
Direitos Humanos/legislação & jurisprudência
[Mh] Termos MeSH secundário: Seres Humanos
Prisioneiros/legislação & jurisprudência
Papel Profissional
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2017.22.7.357


  6 / 1710 MEDLINE  
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[PMID]:28656956
[Au] Autor:Makarov IY; Fetisov VA; Filimonov BA; Gusarov AA
[Ad] Endereço:Federal state budgetary institution 'Russian Centre of Forensic Medical Expertise', Russian Ministry of Health, Moscow, Russia, 125284; Russian Medical Academy of Post-Graduate Education, Russian Ministry of Health, Moscow, Russia, 125993.
[Ti] Título:[The coroner's autopsies in the Great Britain: the problems related to the quality of the studies, standardization, auditing, financial support and the approaches to their solution].
[Ti] Título:Koronerskaia autopsiia v Velikobritanii: problemy kachestva issledovanii, standartizatsii, audita, finansirovaniia i puti ikh resheniia..
[So] Source:Sud Med Ekspert;60(3):57-63, 2017.
[Is] ISSN:0039-4521
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The objective of the present study was to analyze the experience of the coroners and pathologists in the Great Britain based on the results of the coroner's autopsies and recommendations of the experts involved in the activities carried out in the framework of the National Confidential Enquiry into Patient Outcome and Death program (NCEPOD). The recommendations are designed to reform the country's medical examiner system, improve the equipment of the mortuary facilities, and optimize funding for the autopsy studies. The authors consider in the chronological order the following issues of the coroners and pathologists' activities: organization of their work and its procedural aspects, ordering coroner's autopsies, preparation for their performance, analysis of the relevant documentation (autopsy reports) and medical case histories (discharge summaries). Also discussed are the recommendations of the NCEPOD experts for the improvement of the said studies with the detailed analysis of the causes underlying the aforementioned problems and concise comments of the authors.
[Mh] Termos MeSH primário: Autopsia
Médicos Legistas/organização & administração
Patologistas/organização & administração
[Mh] Termos MeSH secundário: Autopsia/métodos
Autopsia/normas
Seres Humanos
Competência Profissional
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE
[do] DOI:10.17116/sudmed201760357-63


  7 / 1710 MEDLINE  
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[PMID]:28640689
[Au] Autor:Stone DM; Holland KM; Bartholow B; E Logan J; LiKamWa McIntosh W; Trudeau A; Rockett IRH
[Ad] Endereço:Deborah M. Stone, Kristin M. Holland, Brad Bartholow, Joseph E. Logan, Wendy LiKamWa McIntosh, and Aimee Trudeau are with the Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA. Ian R. H. Rockett is with the Dep
[Ti] Título:Deciphering Suicide and Other Manners of Death Associated with Drug Intoxication: A Centers for Disease Control and Prevention Consultation Meeting Summary.
[So] Source:Am J Public Health;107(8):1233-1239, 2017 Aug.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Manner of death (MOD) classification (i.e., natural, accident, suicide, homicide, or undetermined cause) affects mortality surveillance and public health research, policy, and practice. Determination of MOD in deaths caused by drug intoxication is challenging, with marked variability across states. The Centers for Disease Control and Prevention hosted a multidisciplinary meeting to discuss drug intoxication deaths as they relate to suicide and other MOD. The meeting objectives were to identify individual-level, system-level, and place-based factors affecting MOD classification and identify potential solutions to classification barriers. Suggested strategies included improved standardization in death scene investigation, toxicology, and autopsy practice; greater accountability; and creation of job aids for investigators. Continued collaboration and coordination of activities are needed among stakeholders to affect prevention efforts.
[Mh] Termos MeSH primário: Causas de Morte
Centers for Disease Control and Prevention (U.S.)
Congressos como Assunto
Overdose de Drogas/mortalidade
Transtornos Relacionados ao Uso de Substâncias/mortalidade
Suicídio
[Mh] Termos MeSH secundário: Médicos Legistas
Seres Humanos
Comunicação Interdisciplinar
Saúde Pública
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303863


  8 / 1710 MEDLINE  
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[PMID]:28566062
[Au] Autor:Ibrahim JE; Bugeja L; Willoughby M; Bevan M; Kipsaina C; Young C; Pham T; Ranson DL
[Ad] Endereço:Monash University, Melbourne, VIC Joseph.Ibrahim@monash.edu.
[Ti] Título:Premature deaths of nursing home residents: an epidemiological analysis.
[So] Source:Med J Aust;206(10):442-447, 2017 Jun 05.
[Is] ISSN:1326-5377
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To conduct a descriptive epidemiological analysis of external cause deaths (premature, usually injury-related, and potentially preventable) of nursing home residents in Australia. DESIGN: Retrospective study of a cohort of nursing home residents, using coronial data routinely recorded by the National Coronial Information System. SETTING AND PARTICIPANTS: Residents of accredited Australian nursing homes, whose deaths were reported to coroners between 1 July 2000 and 30 June 2013, and determined to have resulted from external causes. MAIN OUTCOME MEASURES: Causes of death, analysed by sex and age group, and by location of incidents leading to death and location of death. Rates of death were estimated on the basis of Australian Bureau of Statistics population and Australian Institute of Health and Welfare nursing home data. RESULTS: Of 21672 deaths of nursing home residents, 3289 (15.2%) resulted from external causes. The most frequent mechanisms of death were falls (2679 cases, 81.5%), choking (261 cases, 7.9%) and suicide (146 cases, 4.4%). The incidents leading to death usually occurred in the nursing home (95.8%), but the deaths more frequently occurred outside the nursing home (67.1%). The annual number of external cause deaths in nursing homes increased during the study period (from 1.2 per 1000 admissions in 2001-02 to 5.3 per 1000 admissions in 2011-12). CONCLUSION: The incidence of premature and potentially preventable deaths of nursing home residents has increased over the past decade. A national policy framework is needed to reduce the incidence of premature deaths among Australians living in nursing homes.
[Mh] Termos MeSH primário: Instituição de Longa Permanência para Idosos/estatística & dados numéricos
Hospitalização/estatística & dados numéricos
Mortalidade Prematura/tendências
Casas de Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Acidentes por Quedas/estatística & dados numéricos
Adulto
Idoso
Idoso de 80 Anos ou mais
Obstrução das Vias Respiratórias/epidemiologia
Austrália/epidemiologia
Causas de Morte
Médicos Legistas
Estudos Epidemiológicos
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Suicídio/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170628
[Lr] Data última revisão:
170628
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE


  9 / 1710 MEDLINE  
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[PMID]:28536127
[Au] Autor:Brichacek M; Strazar R; Murray KA; Islur A
[Ad] Endereço:Section of Plastic Surgery, Department of Surgery, University of Manitoba, Winnipeg, Man.
[Ti] Título:Necrotizing fasciitis after scalpel injury sustained during postmortem examination.
[So] Source:CMAJ;189(20):E721-E723, 2017 05 23.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Autopsia
Médicos Legistas
Fasciite Necrosante/etiologia
Traumatismos Ocupacionais/etiologia
Streptococcus pyogenes
Ferimentos Perfurantes/microbiologia
[Mh] Termos MeSH secundário: Adulto
Fasciite Necrosante/patologia
Fasciite Necrosante/terapia
Seres Humanos
Masculino
Traumatismos Ocupacionais/patologia
Traumatismos Ocupacionais/terapia
Ferimentos Perfurantes/patologia
Ferimentos Perfurantes/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.161386


  10 / 1710 MEDLINE  
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[PMID]:28506507
[Au] Autor:Moore PQ; Weber J; Cina S; Aks S
[Ad] Endereço:1900 W Polk St., 10th Floor, Administration Building, Chicago, IL 60612, USA. Electronic address: moore.quincy@gmail.com.
[Ti] Título:Syndrome surveillance of fentanyl-laced heroin outbreaks: Utilization of EMS, Medical Examiner and Poison Center databases.
[So] Source:Am J Emerg Med;35(11):1706-1708, 2017 Nov.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Describe surveillance data from three existing surveillance systems during an unexpected fentanyl outbreak in a large metropolitan area. METHODS: We performed a retrospective analysis of three data sets: Chicago Fire Department EMS, Cook County Medical Examiner, and Illinois Poison Center. Each included data from January 1, 2015 through December 31, 2015. EMS data included all EMS responses in Chicago, Illinois, for suspected opioid overdose in which naloxone was administered and EMS personnel documented other criteria indicative of opioid overdose. Medical Examiner data included all deaths in Cook County, Illinois, related to heroin, fentanyl or both. Illinois Poison Center data included all calls in Chicago, Illinois, related to fentanyl, heroin, and other prescription opioids. Descriptive statistics using Microsoft Excel® were used to analyze the data and create figures. RESULTS: We identified a spike in opioid-related EMS responses during an 11-day period from September 30-October 10, 2015. Medical Examiner data showed an increase in both fentanyl and mixed fentanyl/heroin related deaths during the months of September and October, 2015 (375% and 550% above the median, respectively.) Illinois Poison Center data showed no significant increase in heroin, fentanyl, or other opioid-related calls during September and October 2015. CONCLUSION: Our data suggests that EMS data is an effective real-time surveillance mechanism for changes in the rate of opioid overdoses. Medical Examiner's data was found to be valuable for confirmation of EMS surveillance data and identification of specific intoxicants. Poison Center data did not correlate with EMS or Medical Examiner data.
[Mh] Termos MeSH primário: Surtos de Doenças
Overdose de Drogas/epidemiologia
Fentanila/envenenamento
Heroína/envenenamento
Entorpecentes/envenenamento
[Mh] Termos MeSH secundário: Chicago/epidemiologia
Médicos Legistas
Estudos Transversais
Bases de Dados Factuais
Contaminação de Medicamentos
Overdose de Drogas/tratamento farmacológico
Overdose de Drogas/etiologia
Overdose de Drogas/mortalidade
Serviços Médicos de Emergência
Seres Humanos
Illinois/epidemiologia
Naloxona/uso terapêutico
Antagonistas de Entorpecentes/uso terapêutico
Centros de Controle de Intoxicações
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Narcotic Antagonists); 0 (Narcotics); 36B82AMQ7N (Naloxone); 70D95007SX (Heroin); UF599785JZ (Fentanyl)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170517
[St] Status:MEDLINE



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