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<p>The obligatory medical postmortem examination of a&#xa0;corpse determines death. The procedure comprises a&#xa0;physical examination of the body and the completion of a&#xa0;death certificate. The medical postmortem examination is not governed by nationwide regulations. In various studies the quality of the medical postmortem examination was criticized and state-specific improvement measures were implemented to address the criticisms.</p><p>In Mecklenburg-Western Pomerania, the law mandates a&#xa0;second postmortem examination before cremation that should be conducted by forensic medicine specialists. The Institute of Forensic Medicine, University Medical Center Greifswald, prioritizes consulting with physicians if challenges arise during this second examination. This approach raises the question of how effectively forensic medicine can improve the quality of medical postmortem examinations.</p><p>Data from death certificates and second postmortem examination findings in the Greifswald and Neubrandenburg crematoria from 1 January 2018–31 December 2021 were retrospectively analyzed.</p><p>During the review period, the frequency of cases paused during the second postmortem examination before cremation declined; however, this trend was reversed in 2021, with cases exceeding the baseline levels. Femoral neck fractures exhibited a&#xa0;similar trend, with an initial decrease until 2020 and a&#xa0;resurgence in 2021. Cases involving petechial bleeding in the facial skin remained stable. Notably, 40% of the paused cases were resolved after direct consultation with the initial examining physician.</p><p>The second postmortem examination provides a&#xa0;possibility to oversee the quality of medical postmortem examinations with a&#xa0;focus on the manner of death and provides a&#xa0;possibility to improve the quality of postmortem examinations. Cases such as femoral neck fractures appear more intelligible to clinical physicians. The recognition and correct assignment of petechial bleeding in the skin of the face and possible differential diagnoses cause problems in determining the manner of death. The reasons could be the examination techniques and local circumstances. This underlines the need for continued professional training.</p>

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Möglichkeiten und Maßnahmen zur Qualitätsverbesserung der ärztlichen Leichenschau durch die Feuerbestattungsleichenschau

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月12日

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  • F. Stobbe,
  • K.-P. Philipp,
  • B. Bockholdt

摘要

The obligatory medical postmortem examination of a corpse determines death. The procedure comprises a physical examination of the body and the completion of a death certificate. The medical postmortem examination is not governed by nationwide regulations. In various studies the quality of the medical postmortem examination was criticized and state-specific improvement measures were implemented to address the criticisms.

In Mecklenburg-Western Pomerania, the law mandates a second postmortem examination before cremation that should be conducted by forensic medicine specialists. The Institute of Forensic Medicine, University Medical Center Greifswald, prioritizes consulting with physicians if challenges arise during this second examination. This approach raises the question of how effectively forensic medicine can improve the quality of medical postmortem examinations.

Data from death certificates and second postmortem examination findings in the Greifswald and Neubrandenburg crematoria from 1 January 2018–31 December 2021 were retrospectively analyzed.

During the review period, the frequency of cases paused during the second postmortem examination before cremation declined; however, this trend was reversed in 2021, with cases exceeding the baseline levels. Femoral neck fractures exhibited a similar trend, with an initial decrease until 2020 and a resurgence in 2021. Cases involving petechial bleeding in the facial skin remained stable. Notably, 40% of the paused cases were resolved after direct consultation with the initial examining physician.

The second postmortem examination provides a possibility to oversee the quality of medical postmortem examinations with a focus on the manner of death and provides a possibility to improve the quality of postmortem examinations. Cases such as femoral neck fractures appear more intelligible to clinical physicians. The recognition and correct assignment of petechial bleeding in the skin of the face and possible differential diagnoses cause problems in determining the manner of death. The reasons could be the examination techniques and local circumstances. This underlines the need for continued professional training.