A Mortality Surveillance Collaboration Between a Health System and Public Health Department

Simpson, Scott A.; Loh, Ryan; Elliott, Laura; Everhart, Rachel; Bass, Conlin; Bol, Kirk; Boylls, Steve; Podewils, Laura

doi:10.2105/ajph.2023.307335

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Accordingly, the DMSS is still not in use. During the gradual implementation phase, various inconsistencies and shortcomings came to light, significantly slowing down and complicating the transition of the DMSS to its final use [18]. These challenges and systemic limitations are largely inherent to the Slovenian health care ecosystem.…”

Section: Development Of the Dmss In Slovenia And General Guidelines F...mentioning

confidence: 99%

Development of the digital mortality surveillance system: The Slovenian contribution to the global monitoring of mortality causes and patterns

Stanimirovic

2024

J Glob Health

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MORTUI VIVOS DOCENT (THE DEAD TEACH THE LIVING)M ortality surveillance has been a crucial practice throughout history, serving various purposes and taking different forms. Since medieval times, it has been an essential tool for monitoring personal and legal existence. Even in modern public health, mortality surveillance remains a significant instrument, enabling the analysis of different aspects, patterns, and causes of death [1]. It plays a foundational role in monitoring mortality patterns, identifying leading causes of death, informing health policies, and improving prevention strategies. Mortality statistics, including causes of death, are crucial for monitoring population health, conducting epidemiological studies, and making international comparisons. Comprehensive mortality surveillance approaches have been recognised as valuable platforms for multi-stakeholder dialogue, resource allocation, and prioritising health programmes and initiatives [2]. Mortality statistics are widely used and serve as the primary data source for comparing health characteristics across countries. Unlike sample-based data, causesof-death statistics encompass all deaths, thus avoiding biases and representation issues. These statistics have been employed to investigate differences in mortality levels, health prevention policies, and health care quality.Access to comprehensive death records in a population is vital for mortality surveillance and maintaining credible public health statistics. To obtain accurate and reliable mortality statistics, medically trained and experienced doctors must carry out the death certification process, i.e. the cause of death must be determined and reported systematically and consistently to a central agency [3]. Adequate training in death certification is necessary for doctors to adhere to World Health Organization (WHO) guidelines and standards (The International Statistical Classification of Diseases and Related Health Problems (ICD)) [4]. The ability of doctors to accurately diagnose the diseases and conditions leading to death depends on various factors and circumstances. In addition to its role in public health, a death certificate holds significant legal and administrative implications for the deceased's family. It discloses the underlying cause of death, provides a legal basis for burial or cremation services, and is essential for resolving property issues and civil status matters such as insurance, pensions, and other benefits. Due to the complex and profound implications, it is crucial to complete death certificates thoroughly, accurately, and promptly [5].

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Section: Development Of the Dmss In Slovenia And General Guidelines F...mentioning

confidence: 99%

Development of the digital mortality surveillance system: The Slovenian contribution to the global monitoring of mortality causes and patterns

Stanimirovic

2024

J Glob Health

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Trends in mortality after emergency department presentation for suicidal behaviour in California

Goldman-Mellor,

Olfson,

Schoenbaum

2024

Inj Prev

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IntroductionEmergency department patients presenting with non-fatal suicidal behaviour face elevated risk of suicide and all-cause mortality, but the extent to which this has changed over time is unknown. This study tracked trends in mortality risks faced by emergency department patients presenting with deliberate self-harm and suicidal ideation in California.MethodsUsing statewide linked emergency department and death data, we estimated 2010–2016 trends in suicide and all-cause mortality among emergency department patients with either deliberate self-harm (n=111 658) or suicidal ideation (n=162 959). We also calculated average annual percent changes in age-adjusted mortality rates and compared these to the general California population.ResultsDeliberate self-harm and suicidal ideation patients’ age-adjusted suicide rates decreased by approximately 5% per year during the study period; however, their all-cause mortality trends were flat. In the general California population, suicide rate trends were flat while all-cause mortality slightly declined.ConclusionsSuicide mortality unexpectedly declined among self-harming and suicidal patients presenting to California emergency departments. Additional research is needed to understand the reasons behind this decline and inform quality improvement efforts for suicide prevention in hospital settings.

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A Mortality Surveillance Collaboration Between a Health System and Public Health Department

Cited by 2 publications

References 8 publications

Development of the digital mortality surveillance system: The Slovenian contribution to the global monitoring of mortality causes and patterns

Development of the digital mortality surveillance system: The Slovenian contribution to the global monitoring of mortality causes and patterns

Trends in mortality after emergency department presentation for suicidal behaviour in California

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