Frequency and types of errors in clinician-composed death certificates for patients with or without autopsy in a hospital population.
Background Death certificate (DC) errors are common. At our institution, all deaths have a preliminary death certificate (PDC) written by a clinician and then revised by a pathologist prior to the clinician signing the final death certificate (FDC). In autopsy cases, the FDC is signed by the patholo...
| Publicado en: | Journal of Public Health Vol. 46; no. 1; pp. 83 - 87 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176131439&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176131439 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Mar2024 vid: 46 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 176131439 176131439 176131439 10.1093/pubmed/fdad255 176131439 ppf: 83 ppct: 4 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Frequency and types of errors in clinician-composed death certificates for patients with or without autopsy in a hospital population. aug: au: Pape, Ariana Scherpelz, Kathryn P affil: Department of Laboratory Medicine and Pathology, University of Washington , Seattle, WA 98195 , USA sug: subj: Tertiary Health Care Cause of Death Death Certificates Physicians Health Care Errors Evaluation Autopsy Utilization Human Health Services Research Descriptive Statistics Fisher's Exact Test Data Analysis Software Pathologists Professional Role ab: Background Death certificate (DC) errors are common. At our institution, all deaths have a preliminary death certificate (PDC) written by a clinician and then revised by a pathologist prior to the clinician signing the final death certificate (FDC). In autopsy cases, the FDC is signed by the pathologist who performs the autopsy. Methods A total of 100 in-hospital deaths (50 with autopsy and 50 without) occurred in 2020 were arbitrarily selected from a tertiary care center. All PDCs and FDCs were compared to identify/classify errors as major (incorrect cause of death (COD) or significant contributing factors) or minor (abbreviations, inappropriate non-essential contributing factors, immediate/intermediate COD errors). Frequency of PDC errors was compared by autopsy status, duration of hospital stay and PDC author. Results Ninety percent of cases had at least one PDC error and 39% had a major error. Major errors were more common in autopsy cases (50% versus 28%, P = 0.035), although minor/overall errors were not. Error rates did not significantly differ for the other variables assessed. Conclusions There is significance of having a pathologist review and revise DCs before they are signed. The increased frequency in major errors in cases with autopsy suggests that autopsy findings provided additional information to elucidate COD. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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