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Death Certification. THEEB ALKAHTANI. Death certification: Simpson's Forensic Medicine , 13th ed . Simpson's Forensic Medicine 13th ed. - J. Payne-James, et. al., ( Hodder -Arnold, 2011) BBS.pdf Version History
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Death Certification THEEB ALKAHTANI
Death certification: Simpson's ForensicMedicine, 13th ed. Simpson's Forensic Medicine 13th ed. - J. Payne-James, et. al., (Hodder-Arnold, 2011) BBS.pdf Version History • Death certification Chapter 30 of your textbook; Forensic Pathology: Principles and Practice: David Dolinak, Evan Matshes, Emma O. Lew,http://books.google.com.sa/books/about/Forensic_Pathology.html?id=JdtgE0eHTL4C&redir_esc=y,ISBN0122199510, 9780122199516
Possible Solutions to Common Problems in Death Certification: http://www.cdc.gov/nchs/nvss/death_certification_problems.htm • Instructions for Completing the Cause-of-Death Section of the Death Certificate: http://www.cdc.gov/nchs/data/dvs/blue_form.pdf • Instructions for Completing the Cause-of-Death Section of the Death Certificate for Injury and Poisoning (usually completed by a Medical Examiner or Coroner): http://www.cdc.gov/nchs/data/dvs/red_form.pdf
Death Certification • a permanent record of an individual’s death.
the final certification of a patient's life and cause of death. • the legal and nationally accepted confirmation of death. • an important tool in epidemiological database • should be accurate and with complete information by physicians are mandatory .
The benefits of death document include: • the proof of legal death • health care insurance claims • civil legal proceedings • in epidemiologic statistics providing public health programme and clinical medical research programmes
it is widely used by the national health authorities to screen, evaluate and monitor the public health by calculating the mortality rates of the targeted population. • it is an essential indicator for planning and prioritizing the preventive services and health needs of the nation.
correct death certificates play a vital role in clinical studies.
After pronouncing death, the certifying physician must ensure the accurate documentation at a number of steps involved in the certification process
Unfortunately, death certification errors are very common by physicians
Another study reviewing the accuracy of death certificates on an intensive care unit (ICU) reported that there was a noticeable difference regarding the primary cause of death between the consultant intensives and the assessing pathologist - Tuffin R, Quinn A, Ali F, Cramp P. A review of the accuracy of death certification on the intensive care unit and the proposed reforms to the Coroner's system. J Intensive Care Soc 2009; 10:134-7.
a Swedish study pointed out that their death certificates are highly accurate • they could be used in future surveillance studies to screen for diseases such as prostate cancer without dreading erroneous rates and subsequent ramifications. Godtman R, Holmberg E, Stranne J, Hugosson J. High accuracy of Swedish death certificates in men participating in screening for prostate cancer: a comparative study of official death certificates with a cause of death committee using a standardized algorithm. Scand J UrolNephrol. 2011 Sep; 45(4):226-32.
The results of a study conducted on medical students from the Fiji School of Medicine to determine the efficacy and accessibility of the certification module of the WHO's newly-developed web based training tool for coders and certifiers of deaths showed that there is improvement in accurate completion of death certificates. • This positive response encourages the implementation of this tool in the curriculum for medical students. • Walker S, Rampatige R, Wainiqolo I, Aumua A. An accesible method for teaching doctors about death certification. HIM J. 2012;41(1):4-10.
Let's Do Away With CVA • http://jama.jamanetwork.com/article.aspx?articleid=349631 • Stroke • Apoplexy • cerebral embolism and infarction usually arising from a thrombus in the left atrium or ventricle. • use of the term "CVA" is nonspecific, nondiagnostic, "nonscientific," and potentially misleading and confusing, especially to the layman who may hear it or read it on a death certificate
A local study carried out in KKUH and KFNGH in 2008 reviewed 157 death reports and showed the following outcomes: The primary cause of death was consistent in both death reports and medical files of the deceased in only 14% of the cases whereas 80.3% of the cases showed mismatch. In comparison, there was no agreement in the secondary cause of death between the death reports and files in 52.8% of the cases while only 26.1% of the cases matched. BinSaeed AA, Al-Saadi MM, AlJerian KA, Al-Saleh SA, Al-Hussein MA, Al-Majid KS, Al-Sani ZS, Al-Rabeeah KA, Arab KA, Al-Sheikh KA, Ahamed SS. Assessment of the accuracy of death certification at two referral hospitals. J Family Community Med. 2008 Jan-Apr; 15(1): 43–50. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377056/
Complete and accurate documentation of the immediate, underlying and contributory causes of death of the decedent on the death certificate is a requirement to produce standardized statistical information and to the ability to produce cause-specific mortality statistics, and that has been recommended by the World Health Organization (WHO).
