Declaração de óbito: preenchimento pelo corpo clínico de um hospital universitário

Abstract

ResumoEsta pesquisa analisou o preenchimento das declarações de óbito em um hospital universitário. O estudo objetivou avaliar, em prontuários médicos, as declarações de óbito dos anos 2009 e 2011 e as dificuldades dos médicos do corpo clínico em preenchê-las. Realizou-se pesquisa documental e aplicação de questionários aos médicos. Das 528 declarações de óbito analisadas, 265 (50,18%) estavam incompletamente preenchidas. Dos 34 médicos participantes, 34,14% referiram como principal dificuldade de preenchimento as mortes sem assistência médica; 26,47% consideraram ter tido um aprendizado ruim durante a graduação e somente 50% conheciam o documento que orienta o preenchimento da declaração. Como conclusão, infere-se a necessidade de aprimorar o ensino na graduação acerca da declaração de óbito, bem como incentivar a atualização médica sobre este importante aspecto. Palavras-chave: Declaração de óbito. Epidemiologia. Causas de morte. Indicadores de morbimortalidade. Resumen Certificado de defunción: cumplimentación por el cuerpo médico en un hospital universitarioEsta investigación analizó la cumplimentación de los certificados de defunción en un hospital universitario. El objetivo fue evaluar, en registros médicos, los certificados de defunción de los años 2009 y 2011 y las dificultades para el personal médico en cumplimentarlos. Se realizó la investigación documental y encuestas a los médicos. De los 528 certificados de defunción analizados, 265 (50,18%) fueron incompletamente cumplimentados. De los 34 médicos participantes, el 34,14% apuntó que la principal dificultad en la cumplimentación fueron las muertes sin asistencia médica; el 26,47% consideró escasa su aprendizaje durante la graduación y; sólo el 50% conocía el documento guía que orienta la cumplimentación del certificado. En conclusión, se infiere la necesidad de perfeccionar la enseñanza en el pregrado acerca del certificado de defunción, así como promover la actualización médica sobre este importante aspecto. Palabras-clave: Certificado de defunción. Epidemiología. Causas de muerte. Indicadores de morbimortalidad. Abstract Death certificate: filling by the medical staff of a university hospitalThis investigation analyzed the contents from death certificates filled in by a university hospital. The study aimed to evaluate in medical records the death certificates of the years 2009 and 2011, in the database, and the difficulties of the medical clinical staff to fill them in. A documental research was done as well as interviews with the doctors. In the 528 death certificates analyzed, it was found that 265 (50.18%) were incomplete. From the 34 clinical physicians who answered the questionnaire, 34.14% reported that deaths without medical assistance constitute the major difficulty in filling the document; 26.47% mentioned that they believe their learning during the undergraduate course was not good, and only half of them knew the guideline to fill in the certificate. In conclusion, it is inferred the need to improve the teaching during de undergraduate co...

Aspectos epidemiológicos e deontológicos da mortalidade no trânsito em Roraima

“…The Mortality Qualification Sheets of the MH 16,17 themselves have limitations, with significant underreporting of deaths in the North and Northeast of the country. Declarations of deaths from traffic accidents, classified as "external cause", are always issued by IML after the autopsy, even if death occurs in an emergency room [20][21][22] .…”

“…Even with the so-called "Dry Law", mortality from land transport accidents did not decrease in Roraima, since MIS numbers allow us to conclude that deaths increased in the biennia of 2008 and 2009, 2011 and 2012, and 2014 and 2015 19 . These statistics are of great relevance, as they help to develop and improve public policies [20][21][22] .…”

Editorial

“…Several of these works expound on the subject in its most general aspects, such as how to communicate bad news in oncology 15 or the correct completion of the death certificate 16 . Others explain in detail ethical standards of professional behavior in extremely delicate situations for the patients and their families, such as the moment of the end of life [16][17][18][19][20][21][22] .…”

Avaliação de um aplicativo para smartphone para aprimoramento da certificação médica da causa da morte

“…The lack of training for filling DC has been pointed as one of the factors related to such low precision 3,4 , which can be improved with educational initiatives 5,6 . Several initiatives such as training courses and workshops for physicians in hospitals and the distribution of instruction manuals have been developed in Brazil 7,8 , seeking to raise awareness among these professionals about the importance of the proper filling of the DC for public health 4,9,10 . Despite these interventions, one third of the deaths remains with GC as the underlying cause of death 11 .…”