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The decline in hospital autopsy rates in 2001

Helen E Ward, Belinda E Clarke, Paul V Zimmerman and Michael I Cleary
Med J Aust 2002; 176 (2): . || doi: 10.5694/j.1326-5377.2002.tb04307.x
Published online: 21 January 2002

To the Editor: In late 1998, a clinical audit in the Thoracic Division of the Prince Charles Hospital found the autopsy rate was 7% of all patients who died in the Division (excluding Palliative Care) for the 12 months to September 1998. Following discussions and acknowledgement of the importance of hospital autopsy as a clinical audit tool, the Division's policy to consider an autopsy in all patients who died was reinforced. Registrars were educated in seeking approval and in counselling relatives.


  • The Prince Charles Hospital, Chermside, QLD 4032


Correspondence: 

  • 1. Australian Bureau of Statistics. Cause of death certification Australia — a booklet for the guidance of medical practitioners in completing medical certificates of cause of death. Canberra: ABS, 1999.
  • 2. McKelvie PA. Medical certification of causes of death in an Australian metropolitan hospital. Comparison with autopsy findings and a critical review. Med J Aust 1993; 158: 816-821.
  • 3. Kingsford DPW. A review of diagnostic inaccuracy. Med Sci Law 1995; 35: 347-351.
  • 4. Hill RB, Anderson RE. An autopsy-based quality assessment program for improvement of diagnostic accuracy. Qual Assur Health Care 1993; 5: 351-359.

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