Accuracy of death certification in two tertiary care military hospitals
Accuracy of death certification in two tertiary care military hospitals
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DOI：
10.1093/milmed/164.12.897
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发表时间：
1999-12-01
影响因子：
1.2
通讯作者：
Cina, SJ
中科院分区：
文献类型：
--
作者：
Selby, DM;Clark, B;Cina, SJ
为了确定死亡证明中错误的数量和类型，在两家三级护理军队医院对98名患者的死亡证明和相应的尸检结果进行了分析。在98份死亡证明中，36份（37%）发现错误。最常见的错误类型是使用非特异性诊断作为死亡的根本原因（36个错误中的22个，61%）。所列死亡方式未发现错误。鉴于在死亡证明中发现的错误非常普遍，因此提出了确保正确填写死亡证明的建议。此外，建议对于需要进行尸检的患者，可将直接死亡原因、任何中间死亡原因和潜在死亡原因列为“待定”，以便临床医生在填写死亡证明时使用尸检结果。
To determine the number and type of errors in death certifications, death certificates and corresponding postmortem examination results for 98 patients were analyzed at two tertiary care military hospitals. Of the 98 death certificates, errors were found in 36 (37%). The most prevalent type of error was the use of a nonspecific diagnosis as the underlying cause of death (22 of 36 errors, 61%). No errors were found in the listed manner of death. Given the high prevalence of errors found in death certification, recommendations are made to ensure the proper completion of death certificates. In addition, it is suggested that for patients who are to undergo postmortem examination, the immediate, any intermediate, and the underlying cause of death may be listed as "pending" so that the clinician can use the autopsy results in the completion of the death certificate.