[논문]Analysis of Errors on Death Certificate for Trauma Related Death

Chang, Jun Hyuk; Kim, Sun Hyu; Lee, Hyeji; Choi, Byungho

doi:10.20408/jti.2019.012

Analysis of Errors on Death Certificate for Trauma Related Death 원문보기

Journal of trauma and injury : JTI, v.32 no.3, 2019년, pp.127 - 135

Chang, Jun Hyuk (Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) , Kim, Sun Hyu (Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) , Lee, Hyeji (Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) , Choi, Byungho (Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine)

Abstract ▼ AI-Helper

Purpose: This study was to investigate errors of death certificate (DC) issued for patients with trauma. Methods: A retrospective review for DC issued after death related to trauma at a training hospital trauma center was conducted. Errors on DC were classified into major and minor errors depending on their influence on the process of selecting the cause of death (COD). All errors were compared depending on the place of issue of DC, medical doctors who wrote the DC, and the number of lines filled up for COD of DC. Results: Of a total 140 DCs, average numbers of major and minor errors per DC were 0.8 and 3.7, respectively. There were a total of 2.8 errors for DCs issued at the emergency department (ED) and 5.4 errors for DCs issued beyond ED. The most common major error was more than one COD on a single line for DCs issued at the ED and incompatible casual relation between CODs for DCs issued beyond ED. The number of major errors was 0.5 for emergency physician and 0.8 for trauma surgeon and neurosurgeon. Total errors by the number of lines filled up for COD were the smallest (3.1) for two lines and the largest (6.0) for four lines. Conclusions: Numbers of total errors and major errors on DCs related to trauma only were 4 and 0.8, respectively. As more CODs were written, more errors were found.

주제어

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문제 정의

However, no study has reported errors of DC related to trauma only. Thus, the objective of this study was to investigate errors of DC issued for patients with trauma.

제안 방법

Part I evaluated COD and the manner of death. Part II evaluated the time interval from onset to event or death, other significant conditions not associated with the COD, major findings of surgery, and date of surgery. Part III evaluated type of accident, intention, time of accident, and place of accident (Table 1).

대상 데이터

Data of DC issued after death related to trauma at a training hospital designated as the regional trauma center from September 2015 located in a southeastern coast area of South Korea were analyzed retrospectively from September 2015 to August 2017. This study was approved by the relevant Institutional Review Board.

데이터처리

Errors depending on the specialty of medical doctors and the number of lines filled up for COD of DC were compared using analysis of variance (ANOVA) with Scheffe post hoc test, chi-square test, and Fisher’s exact test.

이론/모형

If it was hard to determine whether the manner of death was due to external cause or natural death based on their medical record, the case was excluded from this study. Evaluation for errors of DC was based on guidelines of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) [13,14]. Using the form of DC commonly used in South Korea (Fig.

성능/효과

A previous study has found that the lower the age of the issuer and the lower the level of the issuing hospital, the greater the number of errors of DC [9]. Total number of errors was the smallest in board certified emergency physicians while the number of major errors was the largest in others under medical residency in this study. This may be related to the experience for writing DC.

참고문헌 (18)

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상세보기
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Analysis of Errors on Death Certificate for Trauma Related Death 원문보기

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Analysis of Errors on Death Certificate for Trauma Related Death 원문보기

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