B-learning training in the certification of causes of death

Alonso‐Sardón, Montserrat; Iglesias-de-Sena, Helena; Sáez-Lorenzo, María; Chamorro, Antonio-Javier; Salvat-Puig, Juan; Mirón-Canelo, José Antonio

doi:10.1016/j.jflm.2014.10.003

Cited by 15 publications

(14 citation statements)

References 15 publications

(13 reference statements)

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“…Within the 21 selected articles [13][14][15][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42], there were 24 distinct interventions, with one article describing four interventions across four countries [30]. In another, findings were stratified under two study populations [27]. Three were randomised controlled trials [13,35,37] and 21 were non-randomised interventions.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of training interventions to improve quality of medical certification of cause of death: systematic review and meta-analysis

Gamage

Mahesh

Schnall

et al. 2020

BMC Med

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Background Valid cause of death data are essential for health policy formation. The quality of medical certification of cause of death (MCCOD) by physicians directly affects the utility of cause of death data for public policy and hospital management. Whilst training in correct certification has been provided for physicians and medical students, the impact of training is often unknown. This study was conducted to systematically review and meta-analyse the effectiveness of training interventions to improve the quality of MCCOD. Methods This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO; Registration ID: CRD42020172547) and followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. CENTRAL, Ovid MEDLINE and Ovid EMBASE databases were searched using pre-defined search strategies covering the eligibility criteria. Studies were selected using four screening questions using the Distiller-SR software. Risk of bias assessments were conducted with GRADE recommendations and ROBINS-I criteria for randomised and non-randomised interventions, respectively. Study selection, data extraction and bias assessments were performed independently by two reviewers with a third reviewer to resolve conflicts. Clinical, methodological and statistical heterogeneity assessments were conducted. Meta-analyses were performed with Review Manager 5.4 software using the ‘generic inverse variance method’ with risk difference as the pooled estimate. A ‘summary of findings’ table was prepared using the ‘GRADEproGDT’ online tool. Sensitivity analyses and narrative synthesis of the findings were also performed. Results After de-duplication, 616 articles were identified and 21 subsequently selected for synthesis of findings; four underwent meta-analysis. The meta-analyses indicated that selected training interventions significantly reduced error rates among participants, with pooled risk differences of 15–33%. Robustness was identified with the sensitivity analyses. The findings of the narrative synthesis were similarly suggestive of favourable outcomes for both physicians and medical trainees. Conclusions Training physicians in correct certification improves the accuracy and policy utility of cause of death data. Investment in MCCOD training activities should be considered as a key component of strategies to improve vital registration systems given the potential of such training to substantially improve the quality of cause of death data.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of training interventions to improve quality of medical certification of cause of death: systematic review and meta-analysis

Gamage

Mahesh

Schnall

et al. 2020

BMC Med

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“…This might lead to healthcare professionals to falsely report deaths from cerebrovascular diseases as senility. It is particularly important to assess cases, where senility is recorded as the cause of death and healthcare professionals must be trained on the accurate reporting of deaths [15,31].…”

Section: Male Femalementioning

confidence: 99%

“…ICD-10) may have not been considered when deaths and their causes were recorded. In such vital registration systems, the records on the causes of deaths may also not be completed [13,15]. These factors may reduce the accuracy of the findings obtained using vital statistics data used to evaluate death rates and their causes in this study.…”

Section: Limitations Of the Studymentioning

confidence: 99%

“…Accurate recording of causes of death carries importance for the accurate evaluation of health status in populations [3]. This requires physicians, interns and medical students to be trained on the accurate determination and recording of death causes [14,15]. There is also evidence that training should be given to funeral directors on the accurate recording of demographic information on the deceased [13].…”

Section: Introductionmentioning

confidence: 99%

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Causes of Deaths in Northern Cyprus: Implications for Accurate Recording and Prevention of Deaths

Ozdal¹,

Behlul²

2020

TOPHJ

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Background: Reporting the causes of deaths completely and correctly is important to develop interventions for reducing death rates in populations. Objective: This study aimed to evaluate the death rates, major causes of deaths and accuracy of recording of death causes in Northern Cyprus between 2007 and 2016. Methods: Data on death rates and causes of deaths between 2007 and 2016 were collected. The data were analyzed using SPSS 23 vs to determine the trends in death rates and to evaluate the ranking of causes of deaths. Results: There was an overall decrease in crude death rates between 2007 and 2016. The proportion of deaths in Northern Cyprus varied in terms of gender and age between 2007 and 2016, with death rates greater in males compared to females (1.89 times greater in 2007) and with higher death rates in people of older ages compared to younger people. The most common cause of death was ischemic heart diseases in all years, except in 2008, where senility was reported as the most common cause of death. Conclusion: There were decreasing trends in mortality rates in Northern Cyprus, with ischemic heart diseases reported as the top cause of deaths in the population. Accurate and complete reporting must be ensured for effective health policies and reduction of health expenditures.

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“…However, and especially for the GPs, the question is raised about their training in terms of knowing how to fill in the medical certificate and their interest in doing so (McAllum et al 2005 ). As an example of a special training programme addressed to students of medicine in their last year, family doctors and interns, with the objective of improving professional competence regarding the certification of causes of death according to the international regulations of the World Health Organisation (WHO), see Alonso-Sardón et al ( 2015 ).…”

Section: Data Sources: Mortalitymentioning

confidence: 99%

Mortality, morbidity and health in developed societies: a review of data sources

Wunsch

Gourbin

2018

Genus

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The purpose of this paper is to review the major sources of data on mortality, morbidity and health in Europe and in other developed regions in order to examine their potential for analysing mortality and morbidity levels and trends. The review is primarily focused on routinely collected information covering a whole country. No attempt is made to draw up an inventory of sources by country; the paper deals instead with the pros and cons of each source for mortality and morbidity studies in demography. While each source considered separately can already yield useful, though partial, results, record linkage among data sources can significantly improve the analysis. Record linkage can also lead to the detection of possible causal associations that could eventually be confirmed. More generally, Big Data can reveal changing mortality and morbidity trends and patterns that could lead to preventive measures being taken rather than more costly curative ones.

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B-learning training in the certification of causes of death

Cited by 15 publications

References 15 publications

Effectiveness of training interventions to improve quality of medical certification of cause of death: systematic review and meta-analysis

Effectiveness of training interventions to improve quality of medical certification of cause of death: systematic review and meta-analysis

Causes of Deaths in Northern Cyprus: Implications for Accurate Recording and Prevention of Deaths

Mortality, morbidity and health in developed societies: a review of data sources

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