Accuracy in completion of death certificate in Vadodara Municipal Corporation of Gujarat, India

Ganasva, Amit S; Bariya, Bhaveshbhai R; Damor, J.R.; Mazumdar, Vihang

doi:10.5455/ijmsph.2016.18092015156

Cited by 5 publications

(3 citation statements)

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“…However, errors in death certificates are not limited to developing countries; for e.g., more than 50% of general practitioners in the United Kingdom and United States of America reported being insufficiently instructed about the process of death certification (Haque et al, 2013). While it is difficult to compare our findings with previous Indian studies due to differences in definitions and interpretations of errors, there are consistent findings among many previous studies, including our study, where the majority of MCCDs had a wrong cause of death that qualified as a major error (Bishwalata et al, 2020; Ganasva et al, 2016; Ganasva et al, 2015; Ghanshyam et al, 2018; Patel et al, 2017; Patil et al, 2019; Pokale et al, 2016; Uplap et al, 2019). Thus, evaluation of death certification through audits should become an essential practice and be conducted regularly in all hospitals, especially in lower-middle and lower-income countries where the quality and availability of death registration is poor, despite higher mortality burden as reported by the WHO (Mathers et al, 2017).…”

Section: Discussionsupporting

confidence: 87%

Evaluation of Medical Certification of Cause of Death in Tertiary Cancer Hospitals in Northern India

Anand

Khanna

Singh

et al. 2023

HIM J

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Background Medical certification of cause of death (MCCD) provides valuable data regarding disease burden in a community and for formulating health policy. Inaccurate MCCDs can significantly impair the precision of national health information. Objective To evaluate the accuracy of cause of death certificates prepared at two tertiary cancer care hospitals in Northern India during the study period (May 2018 to December 2020). Method A retrospective observational study at two tertiary cancer care hospitals in Varanasi, India, over a period of two and a half years. Medical records and cause of death certificates of all decedents were examined. Demographic characteristics, administrative details and cause of death data were collected using the WHO recommended death certificates. Accuracy of death certification was validated by electronic medical records and errors were graded. Results A total of 778 deaths occurred in the two centres during the study period. Of these, only 30 (3.9%) certificates were error-free; 591 (75.9%) certificates had an inappropriate immediate cause of death; 231 (29.7%) certificates had incorrectly labelled modes of death as the immediate cause of death; and 585 (75.2%) certificates had an incorrect underlying cause of death. The majority of certificates were prepared by junior doctors and were significantly associated with higher certification errors. Conclusion A high rate of errors was identified in death certification at the cancer care hospitals during the study period. Inaccurate MCCDs related to cancers can potentially influence cancer statistics and thereby affect policy making for cancer control. Implications This study has identified the pressing need for appropriate interventions to improve quality of certification through training of doctors.

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Section: Discussionsupporting

confidence: 87%

Evaluation of Medical Certification of Cause of Death in Tertiary Cancer Hospitals in Northern India

Anand

Khanna

Singh

et al. 2023

HIM J

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“…Information about death of a person issued by a municipal corporation is said to be death notification and certification of cause of death by a physician is said to be MCCD 2 . At personal level, a death certificate gives information about the time and cause of death,inheritance and insurance, any inherited risk of disease.At national level, it is a vital source of health statistics, prevalence of a disease and mortality and morbidity indices of a community which acts as a skeleton in developing national health policies 1 . In our study, 46% of the participants did not know the difference between a death certificate and Medical Certification of Cause of Death while in a study by Pokale 2 ; 42% doctors did not know the difference.…”

Section: Discussionmentioning

confidence: 99%

“…A death certificate prepared by a physician is a source of vital statistics of mortality and morbidity prevalent in a community, supportive formedical research and designing health care policies and decisions 1 .This legal document is helpful in cases of inheritance and life insurance 2 .Keeping in view the importance of this document, World Health Organization has prescribed a specific format of death certificate anddescribed certain guidelines to fill the deth certificate in a prescribed format. m As per format, the death certificate is containing two parts,Part Iand Part II.…”

Section: Introductionmentioning

confidence: 99%

Physician’s Knowledge and Skill to Complete the Certificate of Cause of Death According to who Guidelines A Survey Among the Doctors of A Tertiary Care Hospital at Lahore\

Maqsood¹,

Maqsood²,

Bashir³

et al. 2022

PJMHS

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Background: The medical document certifying the cause of death provides vital data to develop health policies. In spite of very comprehensive guidelines issued by the WHO for thecompletion of death certificates; very few certificate arefound errorfree which might be due to lack of knowledge and practice on the part of physicians issuing that certificate.Purpose of this study is to assess the knowledge and competencies of a doctor in completing a death certificate. Methods: This study was cross-sectional. The population of this study was physicians of a tertiary care hospital of Lahore. A structured questionnaire along with a case scenario was given to 137 physicians having variable working experiences, performing in different clinical departments of a tertiary care hospital of Lahore.The participants were asked to complete the component of cause of death of the certificateonly. The percentage of omissions done by the doctors during the completion of said section was analyzed using the chi square test to establish the association between participant’s characteristics and their relevant responses. Results: Among 137participants working in different clinical departments of a Tertiary Care Hospital at Lahore, 89% were having less than 5 years’ experience and 11% having more than 5 years’ experience. 53% were qualified from public sector, 24% from private sector and 23% from foreign institutes. 77% doctors identified immediate cause of death incorrectly, 83 % did not identify and interpret underlying cause of death correctly; 90 % did notidentify contributory cause of death correctly. In46 % cases mechanism/mode of death was confused with the cause of death. Practical Implication: The correct completion of death certificates would provide an accurate and genuine mortality index essential for framing a national health policy. Conclusion: Physician’s knowledge and skill of completing the death certificates is very deficient and alarming which necessitate periodical and regular training of the physicians on completing the death certificates as per guidelines of the WHO to get an appropriate and valid health statistics effective for future public national health policies and strategies. Keywords (MeSH): Death certificate completion, Medical certification of cause of death, Physician’s knowledge, skill to complete death certificate, Mortality index

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Accuracy in completion of death certificate in Vadodara Municipal Corporation of Gujarat, India

Cited by 5 publications

References 0 publications

Evaluation of Medical Certification of Cause of Death in Tertiary Cancer Hospitals in Northern India

Evaluation of Medical Certification of Cause of Death in Tertiary Cancer Hospitals in Northern India

Physician’s Knowledge and Skill to Complete the Certificate of Cause of Death According to who Guidelines A Survey Among the Doctors of A Tertiary Care Hospital at Lahore\

Optimum standardization of cause-of-death certification procedures in healthcare facilities: A medicolegal initiative

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