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Jornal Brasileiro de Patologia e Medicina Laboratorial
Print version ISSN 1676-2444
SERAPIAO, Mônica; SERAPIAO, Maria Jose and SERAPIAO, Carlos Jose. Neonatal necropsies as a factor in quality improvement of the neonatal ICUs. J. Bras. Patol. Med. Lab. [online]. 2007, vol.43, n.4, pp. 285-296. ISSN 1676-2444. http://dx.doi.org/10.1590/S1676-24442007000400011.
The present study emphasizes the necropsy value in the development of the neonatal ICU. We present many situations where the diagnostic was possible solely because of the necropsy, as well, many diagnosis were changed based on the necropsies results. The literature compilation shows no evidence of a systematic procedure concerning the mitigation of the problems related to the avaliable routines in this matter. The lack of a more scientific investigation related to the neonatal deaths is a enormous barrier to the improvement of those organizations (ITU's). Apparently, these failure is connected to machines and products thecnology not well know in terms of their suitability concerning under biological development organisms. Also, the necropsies appears to be a useful tool when the death results, directly or indirectly, from therapeutical process. The conception of a quality development process strategy represents a major issue, even more when you face new political decisions in health field, including cost reduction and higher complexity. Also, we need to pay special attention to science and research ethical principles.
Keywords : Neonatal ICUs; Pediatric necropsy; Quality improvement.