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Journal of The Korean Society of Emergency Medicine 2000;11(4): 443-449. |
| Problems in Completing a Death Certificate |
| Kyu Seok Kim, Yong Su Lim, Joong Eui Rhee, Gil Joon Suh, Yeo Kyu Youn, Eun Kyung Eo, Suk Lan Youm, Yeon Kwon Jeong, Yoon Seong Lee |
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| ABSTRACT |
BACKGROUND: This study was conducted to analyze the current problems in completing death certificates and to identify the correct method for completing death certificates.
METHODS:
We reviewed 262 death certificates in three hospitals from March 1 to April 30, 2000, and 119 death certificates in one hospital from March 1 to 31, 2000. We identified major and minor errors and analyzed and compared them retrospectively.
RESULTS:
A total of 381 death certificates were reviewed: 59 in Seoul National University Hospital, 101 in Ewha Woman's University Hospital, and 102 in Gachon Medical College Hospital, which has no education program for completing death certificates in postgraduate training, and 119 in Samsung Medical Center which has an education program for completing death certificates. 358 certificates(94.0%) had at least one error. There were only 23 death certificates(6.0%) without an error. In 182 cases(47.8%), there was one major error. In 321 death certificates(84.3%), there were more than two errors. A comparison of Samsung Medical Center with the other hospitals showed that the number of total errors was statistically different(p=0.001).
CONCLUSION:
There were few death certificates without an error in this study. In a hospital which has postgraduate training in completing death certificates, there are fewer errors than in other hospitals which have no training course. Emergency physicians actually certify many deaths, so they must know the correct method of completing death certificates for statistics on morbidity and mortality. |
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