ArticleBMC health services research2013
Death certificate completion skills of hospital physicians in a developing country.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- "Do we register our deaths?": Motivations and barriers to death registration in Ghana.PloS one · 2024Article
- Quality of death certificates completion for COVID-19 cases in the southeast of Iran: A cross-sectional study.Health science reports · 2022Article
- Drug-related Death low Registration in Iran: A Mixed Method Approach for Causes, Recommendations to Solve This Problem and Geographical Evaluation of an Intervention.Addiction & health · 2022Article
- The impact of errors in medical certification on the accuracy of the underlying cause of death.PloS one · 2021Article
- An Estimation of Drug-Related Deaths in Iran, Using the Capture-Recapture Method (2014-2016).Addiction & health · 2020Article
- Death Certification: Errors and Interventions.Clinical medicine & research · 2020Article
- Association of History of Injection Drug Use with External Cause-Related Mortality Among Persons Linked to HIV Care in an Urban Clinic, 2001-2015.AIDS and behavior · 2019Article
- Accuracy and the factors influencing the accuracy of death certificates completed by first-year general practitioners in Thailand.BMC health services research · 2018Article
- The quality of medical death certification of cause of death in hospitals in rural Bangladesh: impact of introducing the International Form of Medical Certificate of Cause of Death.BMC health services research · 2017Article
- Errors in cause-of-death statement on death certificates in intensive care unit of Kathmandu, Nepal.BMC health services research · 2015Observational
- Heat-related deaths in hot cities: estimates of human tolerance to high temperature thresholds.International journal of environmental research and public health · 2014Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDeath certificates (DC) can provide valuable health status data regarding disease incidence, prevalence and mortality in a community. It can guide local health policy and help in setting priorities. Incomplete and inaccurate DC data, on the other hand, can significantly impair the precision of a national health information database. In this study we evaluated the accuracy of death certificates at a tertiary care teaching hospital in a Karachi, Pakistan.
methodsA retrospective study conducted at Aga Khan University Hospital, Karachi, Pakistan for a period of six months. Medical records and death certificates of all patients who died under adult medical service were studied. The demographic characteristics, administrative details, co-morbidities and cause of death from death certificates were collected using an approved standardized form. Accuracy of this information was validated using their medical records. Errors in the death certificates were classified into six categories, from 0 to 5 according to increasing severity; a grade 0 was assigned if no errors were identified, and 5, if an incorrect cause of death was attributed or placed in an improper sequence.
results223 deaths occurred during the study period. 9 certificates were not accessible and 12 patients had incomplete medical records. 202 certificates were finally analyzed. Most frequent errors pertaining to patients' demographics (92%) and cause/s of death (87%) were identified. 156 (77%) certificates had 3 or more errors and 124 (62%) certificates had a combination of errors that significantly changed the death certificate interpretation. Only 1% certificates were error free.
conclusionA very high rate of errors was identified in death certificates completed at our academic institution. There is a pressing need for appropriate intervention/s to resolve this important issue.
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