Lloyd Jennifer, Jahanpour Ehsan, Angell Brian, Ward Craig, Hunter Andy, Baysinger Cherri, Turabelidze George
Missouri Department of Health and Senior Services.
MMWR Morb Mortal Wkly Rep. 2017 Jan 13;66(1):19-22. doi: 10.15585/mmwr.mm6601a5.
Reporting causes of death accurately is essential to public health and hospital-based programs; however, some U.S. studies have identified substantial inaccuracies in cause of death reporting. Using CDC's national inpatient hospital death rates as a benchmark, the Missouri Department of Health and Senior Services (DHSS) analyzed inpatient death rates reported by hospitals with high inpatient death rates in St. Louis and Kansas City metro areas. Among the selected hospitals with high inpatient death rates, 45.8% of death certificates indicated an underlying cause of death that was inconsistent with CDC's Guidelines for Death Certificate completion. Selected hospitals with high inpatient death rates were more likely to overreport heart disease and renal disease, and underreport cancer as an underlying cause of death. Based on these findings, the Missouri DHSS initiated a new web-based training module for death certificate completion based on the CDC guidelines in an effort to improve accuracy in cause of death reporting.
准确报告死亡原因对公共卫生和医院项目至关重要；然而，美国的一些研究发现死亡原因报告存在大量不准确之处。密苏里州卫生与高级服务部（DHSS）以美国疾病控制与预防中心（CDC）的全国住院医院死亡率为基准，分析了圣路易斯和堪萨斯城都会区住院死亡率高的医院所报告的住院死亡率。在选定的住院死亡率高的医院中，45.8%的死亡证明显示的根本死因与CDC的死亡证明填写指南不一致。选定的住院死亡率高的医院更有可能高估心脏病和肾病，而低估癌症作为根本死因的情况。基于这些发现，密苏里州DHSS根据CDC指南启动了一个新的基于网络的死亡证明填写培训模块，以提高死亡原因报告的准确性。
