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一项关于改善死亡证明开具实践的教育干预措施的评估。

An evaluation of an educational intervention to improve death certification practice.

作者信息

Weeramanthri T, Beresford W, Sathianathan V

机构信息

Menzies School of Health Research, Casuarina (Darwin), Northern Territory.

出版信息

Aust Clin Rev. 1993;13(4):185-9.

PMID:8311787
Abstract

The objective of this study was to evaluate the effect of an educational intervention on the knowledge and behaviour of hospital staff pertaining to death certification. A questionnaire was administered, and certification error assessed both before and after written educational material was provided. Although the response rate to the questionnaire was disappointing (19.1%), the findings revealed a poor baseline understanding of the subject that improved after reading the educational material. Certification error fell from a baseline of 22.4 to 15.1% 2 months later, although the magnitude of the fall was not statistically significant. It was concluded that a simple questionnaire used in conjunction with educational material can focus attention on potential knowledge gaps relating to death certification. However, the educational effort needs to be sustained and linked to outcome assessment of certification performance in the institution.

摘要

本研究的目的是评估一项教育干预措施对医院工作人员在死亡证明方面的知识和行为的影响。在提供书面教育材料之前和之后,均进行了问卷调查,并对证明错误情况进行了评估。尽管问卷的回复率令人失望(19.1%),但研究结果显示,工作人员对该主题的基线理解较差,在阅读教育材料后有所改善。2个月后,证明错误率从基线的22.4%降至15.1%,尽管下降幅度无统计学意义。研究得出结论,结合教育材料使用简单的问卷可以使人们关注与死亡证明相关的潜在知识差距。然而,教育工作需要持续进行,并与机构内证明工作表现的结果评估相联系。

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1
An evaluation of an educational intervention to improve death certification practice.一项关于改善死亡证明开具实践的教育干预措施的评估。
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引用本文的文献

1
An intervention to improve cause-of-death reporting in New York City hospitals, 2009-2010.2009-2010 年纽约市医院死因报告改进干预措施。
Prev Chronic Dis. 2012;9:E157. doi: 10.5888/pcd9.120071.
2
The effect of student training on accuracy of completion of death certificates.学生培训对死亡证明完成准确性的影响。
Med Educ Online. 2009 Sep 29;14:17. doi: 10.3885/meo.2009.Res00315.
3
Evaluating an educational intervention to improve the accuracy of death certification among trainees from various specialties.评估一项教育干预措施,以提高各专业实习生死亡证明的准确性。
BMC Health Serv Res. 2007 Nov 15;7:183. doi: 10.1186/1472-6963-7-183.
4
Improving death certificate completion: a trial of two training interventions.提高死亡证明填写质量:两种培训干预措施的试验
J Gen Intern Med. 2007 Apr;22(4):544-8. doi: 10.1007/s11606-006-0071-6.
5
Death certification: an audit of practice entering the 21st century.死亡证明:对步入21世纪的实践情况的一次审核。
J Clin Pathol. 2002 Apr;55(4):275-9. doi: 10.1136/jcp.55.4.275.
6
Improving the accuracy of death certification.提高死亡证明的准确性。
CMAJ. 1998 May 19;158(10):1317-23.
7
Death certification: is correct formulation of cause of death related to seniority or experience?死亡证明:死因的正确表述与资历或经验有关吗?
J R Coll Physicians Lond. 1995 Sep-Oct;29(5):424-8.
8
Information on death certificates: cause for concern?死亡证明上的信息:值得担忧吗?
J Clin Pathol. 1996 Mar;49(3):213-6. doi: 10.1136/jcp.49.3.213.