Mortality and quality of medical care in Hospital “Héroes del Baire”. 2015

Abstract

The indexes of discrepancy between the clinical and morphological diagnosis constitute in an indirect way an indicator of quality of the borrowed medical attention. The autopsy is the means that allows the analysis of this discrepancy. The Committee of Analysis of the Hospital Mortality should work actively in each hospital and be carried out a serious revision and discussion work of all the deceased patients, to analyze the agreement clinicopathológical as well as the medical behavior taken in all the cases before to die the patient. Objective: to analyze the quality of the medical attention received in deceased patient. Method: Retrospective and descriptive study that included all the patients that died in the period between January and December of the 2015, it allowed to determine the autopsy index and the clinical-pathological correlation. They were also revised an aleatory group of clinical histories in view of evaluating the medical behavior during the handling diagnosis and therapeutic as well as the quality of the making of this. The index of autopsies was of 39.3% and of pathological clinical discrepancy reaches 30.7%, alone 72.7% of the clinical histories was revised, of them 28.4% was not satisfactory, was proven this way the deficient work of Hospital Mortality Assessment Committee, for what recommendations were indicated.