Improving death certificate completion: a trial of two training interventions.
Improving death certificate completion: a trial of two training interventions.
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DOI：
10.1007/s11606-006-0071-6
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发表时间：
2007-04
影响因子：
5.7
通讯作者：
Gowda, Manohar S.
中科院分区：
文献类型：
--
作者：
Lakkireddy, Dhanunjaya R.;Basarakodu, Krishnamohan R.;Vacek, James L.;Kondur, Ashok K.;Ramachandruni, Srikanth K.;Esterbrooks, Dennis J.;Markert, Ronald J.;Gowda, Manohar S.
死亡证明是影响死亡率统计和医疗保健政策的重要医疗文件。住院医师填写死亡证明的准确性很低。我们评估了两种教育干预措施对住院医师完成死亡证明质量的影响。 219 名内科住院医师被要求使用院内死亡样本完成死亡原因陈述。参与者被随机分配到两种教育干预措施之一：互动研讨会（第一组）或提供印刷教学材料（第二组）。共有 200 名居民完成了这项研究，每组 100 人。基线时，完成死亡证明的能力很差。只有 19% 的居民取得了最佳测试成绩。百分之六十的人错误地确定了心脏死亡原因。干预后，第一组（14±6 vs 24±5，p<0.001）和第二组（14±5 vs 19±5，p<0.001）的死亡证明评分均较基线显着改善。 I 组的改善程度高于 II 组（24±5 vs 19±5，p<0.001）。通过教育干预可以提高住院医生完成死亡证明的技能。互动研讨会是比印刷讲义更有效的干预措施。
The death certificate is an important medical document that impacts mortality statistics and health care policy. Resident physician accuracy in completing death certificates is poor. We assessed the impact of two educational interventions on the quality of death certificate completion by resident physicians. Two-hundred and nineteen internal medicine residents were asked to complete a cause of death statement using a sample case of in-hospital death. Participants were randomized into one of two educational interventions: either an interactive workshop (group I) or provided with printed instruction material (group II). A total of 200 residents completed the study, with 100 in each group. At baseline, competency in death certificate completion was poor. Only 19% of residents achieved an optimal test score. Sixty percent erroneously identified a cardiac cause of death. The death certificate score improved significantly in both group I (14±6 vs 24±5, p<0.001) and group II (14±5 vs 19±5, p<0.001) postintervention from baseline. Group I had a higher degree of improvement than group II (24±5 vs 19±5, p<0.001). Resident physicians’ skills in death certificate completion can be improved with an educational intervention. An interactive workshop is a more effective intervention than a printed handout.
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影响因子：
12.7
作者：
SORLIE, PD;GOLD, EB
通讯作者：
GOLD, EB
DOI：
10.1097/00000433-199309000-00015
发表时间：
1993-09-01
影响因子：
1
作者：
HANZLICK, R
通讯作者：
HANZLICK, R
影响因子：
1.2
作者：
Selby, DM;Clark, B;Cina, SJ
通讯作者：
Cina, SJ
影响因子：
39.2
作者：
Lloyd-Jones, DM;Martin, DO;Levy, D
通讯作者：
Levy, D
影响因子：
7.7
作者：
Lu, TH;Lee, MC;Chou, MC
通讯作者：
Chou, MC