Klinische Obduktionen. Praktisches Vorgehen, rechtliche Grundlagen und ethische Überlegungen
Der Pathologe 2010 Jul; 31(4): 256-67
Only an autopsy can demonstrate topographical and morphological circumstances in detail and correlate the clinical and autopsy findings based on the examination of all organs. The practical approach in a fatality is described based on the example of the Lüdenscheid Hospital. A uniform legal regulation for dealing with corpses does not exist in Germany. There are two approaches to the question under which circumstances a clinical autopsy is allowed: the extended permission solution and the objection solution. Whether a clinical autopsy can be carried out is decided by the medical specialist selected on application. Autopsies can be necessary from insurance or administrative legal grounds or in the case of an anatomical autopsy is decided by the persons themselves. In order to guarantee the quality of an autopsy it is necessary to use a standardized approach with evaluation and assessment of the results, for example using a quality assurance protocol and the production of an autopsy report. Using this approach important information can be gained not only on the accuracy of the main diagnosis and cause of death but also on additional diseases, response to therapy and the course of the disease and under circumstances can lead to modifications in the approach.
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Moralphilosophische Überlegungen zu Organallokation und Tod review of HIRNTOD UND ORGANVERPFLANZUNG. ETHISCHE, MEDIZINISCHE, PSYCHOLOGISCHE UND RECHTLICHE ASPEKTE DER TRANSPLANTATIONSMEDIZIN Johann S. Ach and Michael Quante; ZUR GERECHTIGKEIT DER ORGANVERTEILIUNG, EIN PROBLEM DER TRANSPLANTATIONMEDIZIN AUS INTERDISZIPLINÄRER SICHT and MEDIZINISCHE GERECHTIGKEIT, PATIENTENAUSWAHL IN DER TRANSPLANTATIONSMEDIZIN Anderheiden, Michael (1998)