An intervention to improve cause-of-death reporting in New York City hospitals, 2009-2010.
An intervention to improve cause-of-death reporting in New York City hospitals, 2009-2010.
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DOI：
10.5888/pcd9.120071
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发表时间：
2012
影响因子：
5.5
通讯作者：
Begier E
中科院分区：
文献类型：
--
作者：
Madsen A;Thihalolipavan S;Maduro G;Zimmerman R;Koppaka R;Li W;Foster V;Begier E
死亡原因报告质量差降低了用于指导公共卫生工作的死亡率统计数据的可靠性。在纽约市（NYC）和全国范围内都有心脏病的过度报告。我们的目标是评估纽约市卫生部门在8家医院进行的死因（COD）教育计划对心脏病报告和每份证书的平均条件的直接和长期影响，这是COD报告质量的指标。从2009年6月到2010年1月，我们对2008年多报心脏病死亡的8家医院进行了干预。我们分享了有关COD报告的医院特定数据，与主要医院工作人员举行了电话会议，并进行了在职培训。对于2009年1月至2011年6月报告的死亡，我们比较了干预和非干预医院干预前后心脏病死亡的比例和每份死亡证明的平均疾病数量。在干预医院，报告心脏病为死亡原因的死亡证明比例从干预前的68.8%下降到干预后的32.4%（P <0.001）。干预前各医院比例为58.9%至79.5%，干预后为25.9%至45.0%。在干预医院，每份死亡证明的平均疾病数从干预前的2.4种增加到干预后的3.4种（P <0.001），并在一年后保持在3.4种。在非干预医院，这些措施在干预和干预后期间保持相对一致。纽约市卫生部门的医院级干预导致COD报告的持久变化。
Poor-quality cause-of-death reporting reduces reliability of mortality statistics used to direct public health efforts. Overreporting of heart disease has been documented in New York City (NYC) and nationwide. Our objective was to evaluate the immediate and longer-term effects of a cause-of-death (COD) educational program that NYC’s health department conducted at 8 hospitals on heart disease reporting and on average conditions per certificate, which are indicators of the quality of COD reporting. From June 2009 through January 2010, we intervened at 8 hospitals that overreported heart disease deaths in 2008. We shared hospital-specific data on COD reporting, held conference calls with key hospital staff, and conducted in-service training. For deaths reported from January 2009 through June 2011, we compared the proportion of heart disease deaths and average number of conditions per death certificate before and after the intervention at both intervention and nonintervention hospitals. At intervention hospitals, the proportion of death certificates that reported heart disease as the cause of death decreased from 68.8% preintervention to 32.4% postintervention (P < .001). Individual hospital proportions ranged from 58.9% to 79.5% preintervention and 25.9% to 45.0% postintervention. At intervention hospitals the average number of conditions per death certificate increased from 2.4 conditions preintervention to 3.4 conditions postintervention (P < .001) and remained at 3.4 conditions a year later. At nonintervention hospitals, these measures remained relatively consistent across the intervention and postintervention period. This NYC health department’s hospital-level intervention led to durable changes in COD reporting.
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影响因子：
--
作者：
Hanzlick, R
通讯作者：
Hanzlick, R
DOI：
10.1016/0197-2456(89)90029-9
发表时间：
1989-06-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
BANGDIWALA, SI;COHN, R;PRINEAS, RJ
通讯作者：
PRINEAS, RJ
影响因子：
5.7
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.
通讯作者：
Gowda, Manohar S.
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：
12.7
作者：
Gwynn, R. Charon;Garg, Renu K.;Thorpe, Lorna E.
通讯作者：
Thorpe, Lorna E.