NDLI: Problems with proper completion and accuracy of the cause-of-death statement.

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Problems with proper completion and accuracy of the cause-of-death statement.

Content Provider	Semantic Scholar
Author	Sehdev, Ann E. Smith Hutchins, Grover M.
Copyright Year	2001
Abstract	BACKGROUND Mortality statistics are largely based on death certificates, so it is important that the data on the death certificate is accurate. At our institution, clinicians complete cause-of-death statements (CODs) prior to autopsy. Since May 1995, separate CODs have been included in autopsy face sheets. METHODS Clinical and autopsy-based CODs filled out separately on 494 cases between June 1995 and February 1997 were compared for proper reporting and accuracy using the published guidelines and definitions of immediate, intermediate, and underlying causes of death put forth by the College of American Pathologists and the National Center for Health Statistics. RESULTS Of the 494 death certificates, 204 (41%) contained improperly completed CODs. Of these, 49 (24%) contained major discrepancies between clinicians' and pathologists' CODs. Of the 494 death certificates, 290 (59%) had properly completed CODs. Of the 290 properly completed CODs, 141 (49%) contained disagreements: 73 (52%) on underlying CODs; 44 (31%) on immediate CODs; and 47 (33%) on other significant conditions (part II). CONCLUSIONS The reliability and accuracy of CODs remain a significant problem. Despite its limitations, the autopsy remains the best standard against which to judge premortem diagnoses. The CODs of the death certificate may be improved if death certificates are completed in conjunction with the postmortem examination and amended when the autopsy findings show a discrepancy.
Starting Page	S105
Ending Page	S105
Page Count	1
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://archinte.jamanetwork.com/journals/intemed/articlepdf/647106/ioi00161.pdf
PubMed reference number	11176744v1
Volume Number	161
Issue Number	2
Journal	Archives of internal medicine
Language	English
Access Restriction	Open
Subject Keyword	Autopsy Certificate (record artifact) Cessation of life Contain (action) Death Certificates Fifty Nine Fill Forty Nine Scientific Publication
Content Type	Text
Resource Type	Article

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