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The Role of Autopsy and Post-Mortem Investigations in Falling Traumas in the Hospital Environment

Falls in a hospital setting are a global public health problem. Despite the production of sensors and various preventive tools to reduce the risk, falls remain a dangerous event with a significant impact on the morbidity and mortality of patients. Despite numerous prevention strategies, falling in t...

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Autores principales: Sacco, Matteo Antonio, Cordasco, Fabrizio, Abenavoli, Ludovico, Lavano, Angelo, Gallotta, Giovanni, Garofalo, Eugenio, Bruni, Andrea, Scalise, Carmen, Gualtieri, Saverio, Tarallo, Alessandro Pasquale, Aquila, Valerio Riccardo, Ricci, Pietrantonio, Aquila, Isabella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777541/
https://www.ncbi.nlm.nih.gov/pubmed/36553175
http://dx.doi.org/10.3390/diagnostics12123168
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author Sacco, Matteo Antonio
Cordasco, Fabrizio
Abenavoli, Ludovico
Lavano, Angelo
Gallotta, Giovanni
Garofalo, Eugenio
Bruni, Andrea
Scalise, Carmen
Gualtieri, Saverio
Tarallo, Alessandro Pasquale
Aquila, Valerio Riccardo
Ricci, Pietrantonio
Aquila, Isabella
author_facet Sacco, Matteo Antonio
Cordasco, Fabrizio
Abenavoli, Ludovico
Lavano, Angelo
Gallotta, Giovanni
Garofalo, Eugenio
Bruni, Andrea
Scalise, Carmen
Gualtieri, Saverio
Tarallo, Alessandro Pasquale
Aquila, Valerio Riccardo
Ricci, Pietrantonio
Aquila, Isabella
author_sort Sacco, Matteo Antonio
collection PubMed
description Falls in a hospital setting are a global public health problem. Despite the production of sensors and various preventive tools to reduce the risk, falls remain a dangerous event with a significant impact on the morbidity and mortality of patients. Despite numerous prevention strategies, falling in the hospital are not always investigated and the autopsy is not always performed in these cases, so it is often not known whether the death is related to the fall or to other causes, inevitably affecting the assessment of any profiles of medical liability for health personnel or for the hospital in the accident. We describe three cases of falls that occurred in different hospitals, in which the autopsy allowed to diagnose with certainty the extent of the trauma and to reconstruct its dynamics. Along with the circumstantial and documentary analyses, deficiencies both in the trauma diagnostics and in the application of the safety measures on the patients were showed. Together with the description of our cases, we propose the post-mortem investigations of these events, both for judicial and risk management purposes.
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spelling pubmed-97775412022-12-23 The Role of Autopsy and Post-Mortem Investigations in Falling Traumas in the Hospital Environment Sacco, Matteo Antonio Cordasco, Fabrizio Abenavoli, Ludovico Lavano, Angelo Gallotta, Giovanni Garofalo, Eugenio Bruni, Andrea Scalise, Carmen Gualtieri, Saverio Tarallo, Alessandro Pasquale Aquila, Valerio Riccardo Ricci, Pietrantonio Aquila, Isabella Diagnostics (Basel) Article Falls in a hospital setting are a global public health problem. Despite the production of sensors and various preventive tools to reduce the risk, falls remain a dangerous event with a significant impact on the morbidity and mortality of patients. Despite numerous prevention strategies, falling in the hospital are not always investigated and the autopsy is not always performed in these cases, so it is often not known whether the death is related to the fall or to other causes, inevitably affecting the assessment of any profiles of medical liability for health personnel or for the hospital in the accident. We describe three cases of falls that occurred in different hospitals, in which the autopsy allowed to diagnose with certainty the extent of the trauma and to reconstruct its dynamics. Along with the circumstantial and documentary analyses, deficiencies both in the trauma diagnostics and in the application of the safety measures on the patients were showed. Together with the description of our cases, we propose the post-mortem investigations of these events, both for judicial and risk management purposes. MDPI 2022-12-14 /pmc/articles/PMC9777541/ /pubmed/36553175 http://dx.doi.org/10.3390/diagnostics12123168 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sacco, Matteo Antonio
Cordasco, Fabrizio
Abenavoli, Ludovico
Lavano, Angelo
Gallotta, Giovanni
Garofalo, Eugenio
Bruni, Andrea
Scalise, Carmen
Gualtieri, Saverio
Tarallo, Alessandro Pasquale
Aquila, Valerio Riccardo
Ricci, Pietrantonio
Aquila, Isabella
The Role of Autopsy and Post-Mortem Investigations in Falling Traumas in the Hospital Environment
title The Role of Autopsy and Post-Mortem Investigations in Falling Traumas in the Hospital Environment
title_full The Role of Autopsy and Post-Mortem Investigations in Falling Traumas in the Hospital Environment
title_fullStr The Role of Autopsy and Post-Mortem Investigations in Falling Traumas in the Hospital Environment
title_full_unstemmed The Role of Autopsy and Post-Mortem Investigations in Falling Traumas in the Hospital Environment
title_short The Role of Autopsy and Post-Mortem Investigations in Falling Traumas in the Hospital Environment
title_sort role of autopsy and post-mortem investigations in falling traumas in the hospital environment
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777541/
https://www.ncbi.nlm.nih.gov/pubmed/36553175
http://dx.doi.org/10.3390/diagnostics12123168
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