加纳一家三级医院死因医学证明书发放问题的错误审查。
Review of errors in the issue of medical certificates of cause of death in a tertiary hospital in Ghana.
作者信息
Akakpo Patrick K, Awuku Yaw A, Derkyi-Kwarteng Leonard, Gyamera Kelvin A, Eliason Sebastian
机构信息
Department of Pathology, School of Medical Sciences, University of Cape Coast, Cape Coast Teaching Hospital, Cape Coast, Ghana.
Department of Internal Medicine and Therapeutics, School of Medical Sciences, University of Cape Coast, Cape Coast Teaching Hospital, Cape Coast, Ghana.
出版信息
Ghana Med J. 2017 Mar;51(1):30-35. doi: 10.4314/gmj.v51i1.6.
OBJECTIVE
Reliable mortality statistics are useful in determining national policies on preventive and interventional medicine. This study reviews, completed medical certificates of cause of death at the Cape Coast Teaching Hospital, in order to determine their accuracy and reliability.
METHODS
A one-year review of Medical Certificates of Cause of Death (MCCD) signed between 01-01-2013 and 31-12-2013 in the medical, pediatric, surgical and obstetrics/gynecology departments of Cape Coast Teaching Hospital were done, analyzing for errors using the WHO/ICD-10 guidelines as the standard. The errors were grouped into minor and major errors.
RESULTS
In all, 337 medical certificates of cause of death were audited. Majority, 212(62.9%) were issued in the internal medicine and therapeutics department. 30.86% (104) MCCDs were completed by specialists while 69.14% (233) were completed by non-specialist medical officers. Over half (56.68%) of the MCCDs had major errors while all (100%) had at least one minor error.
CONCLUSION
Our study showed significant errors in MCCD records, with the errors more likely in certificates issued by non-specialist medical officers. All the certificates audited had at least one minor error. Training of doctors on proper completion of MCCDs is strongly advocated.
FUNDING
None of the authors received any financial support for this study.
目的
可靠的死亡率统计数据有助于制定国家预防和介入医学政策。本研究对海岸角教学医院已完成的死亡医学证明书进行回顾，以确定其准确性和可靠性。
方法
对海岸角教学医院内科、儿科、外科及妇产科在2013年1月1日至2013年12月31日期间签署的死亡医学证明书（MCCD）进行为期一年的回顾，以世界卫生组织/国际疾病分类第十版（WHO/ICD-10）指南为标准分析错误情况。这些错误被分为小错误和大错误。
结果
共审核了337份死亡医学证明书。其中大多数，即212份（62.9%）由内科及治疗科出具。30.86%（104份）的MCCD由专科医生填写，而69.14%（233份）由非专科医务人员填写。超过一半（56.68%）的MCCD存在大错误，而所有（100%）的MCCD至少存在一处小错误。
结论
我们的研究显示MCCD记录存在重大错误，非专科医务人员出具的证明书更易出现错误。所有审核的证明书至少存在一处小错误。强烈建议对医生进行关于正确填写MCCD的培训。
资金来源
本研究的作者均未获得任何资金支持。
Zotero 插件