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J Clin Pathol 57:980-985 doi:10.1136/jcp.2004.016246
  • Original article

Discrepancies between clinical and postmortem diagnoses in Jamaica: a study from the University Hospital of the West Indies

Table 4

 Categories of discrepancies and discrepancy and concordance rates by service

Service* Total ODN (%) Category of discrepancy Total DD DR (%) Total CD CR (%)
I II III IV VI
*Medicine includes internal medicine, psychiatry, and dermatology; surgery includes all surgical specialties and obstetrics/gynaecology; Tropical Medicine Research Institute analysed with child health.
A&E, accident and emergency; CD, concordant diagnoses; CR, concordance rate; DD, discrepant diagnoses; DR, discrepancy rate; ICU, intensive care unit; OD, overall diagnoses.
Medicine 190 (31.4) 33 12 8 3 36 92 48.4 98 51.6
A&E 122 (20.2) 31 6 12 1 31 81 66.4 41 33.6
Child health 106 (17.5) 3 10 4 0 16 33 31.1 73 68.9
Surgery 107 (17.7) 26 7 5 1 13 52 48.6 55 51.4
ICU 80 (13.2) 4 12 6 3 10 35 43.8 45 52.5
Total 605 (100) 97 47 35 8 106 293 48.4 312 51.6

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