Does the Application of International Classification of Disease Codes for the Cause of Death on Death Certificates Reduce Garbage Codes?

Park, Soobeom; Kim, Sun Hyu

doi:10.1177/00469580221081433

Cited by 3 publications

(7 citation statements)

References 23 publications

(49 reference statements)

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“…DC errors were divided into major and minor errors based on previous literature. 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 17 18 22 23 Major errors were defined as errors that could affect COD determination, and other errors were defined as minor errors. The detailed classification and examples of errors are shown in Tables 1 and 2 .…”

Section: Methodsmentioning

confidence: 99%

“…In the second evaluation, which included the participation of an additional EP with previous experience in conducting studies related to DC errors, the final errors were judged after discussion among the five EPs. 6 10 16 17 22 All evaluators who participated in the judgment of errors received guidelines for DC writing training and made judgments with sufficient knowledge. 24 25 26 27 …”

Section: Methodsmentioning

confidence: 99%

“…The incidence of death certificate (DC) errors has been widely reported in previous studies. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 It is not difficult to estimate the cause of death (COD) if a patient dies from a cause related to their previous medical history. However, in the case of death in an emergency department (ED), it is often difficult to estimate the COD if the patient’s medical history is not sufficiently known or if the COD is unrelated to their medical history.…”

Section: Introductionmentioning

confidence: 99%

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Do Death Certificate Errors Decrease as Clinical Experience in an Emergency Department Increases?

Kim,

Chung

et al. 2024

J Korean Med Sci

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Background This study aimed to evaluate the relationship between clinical experience and death certificate (DC) errors by analyzing DCs written by experienced emergency physicians (EPs). Methods DCs issued by four experienced EPs over a 10-year period were retrospectively reviewed. DC errors were divided into major and minor errors based on whether they affected the cause of death (COD) determination. The errors were judged through first and second evaluations. Basic information regarding DCs and 10-year changes in DC errors were analyzed. Results A total of 505 DCs were analyzed, with an average of 34 to 70 for each study year. The number of CODs written in the DCs tended to decrease over time. The presentation of major DC errors did not show a tendency to change over time. However, the sum of the major and minor errors tended to increase over time. Secondary conditions as the underlying COD tended to increase, and the incompatible causal relationships between CODs tended to decrease over time in the detailed analysis of major errors. The increasing tendency for incorrect other significant conditions, incorrect type of accident, incorrect intention of the external cause, no record of the trauma mechanism, and record of the trauma mechanism without another COD were found in the detailed analysis of minor errors. Conclusion DC errors did not decrease as clinical experience increased. Education to reduce DC errors and a feedback process for written DCs are necessary, regardless of clinical experience.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Do Death Certificate Errors Decrease as Clinical Experience in an Emergency Department Increases?

Kim,

Chung

et al. 2024

J Korean Med Sci

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“…Errors were divided into major and minor according to the previously described criteria 2,3,5, [10][11][12][14][15][16][17][18] . The errors are listed in Table 1 and Appendices 1, 2 (https://doi.org/10.22470/pemj.2022.00444).…”

Section: Definitions Of the Errors And Variables Of Interestmentioning

confidence: 99%

Errors in pediatric death certificates issued in an emergency department

Park

Kim

2022

Pediatr Emerg Med J

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Purpose: Errors in pediatric death certificates (DCs) have been rarely reported. We analyzed the errors in writing the DCs issued in an emergency department (ED).Methods: The DCs issued at the ED to patients aged 18 years or younger were retrospectively analyzed. Their medical records were reviewed by 4 emergency physicians. Major and minor errors in the DCs were defined based on the International Statistical Classification of Diseases and Related Health Problems 10th revision guidelines. The DCs were classified into the disease group and the external group by the manner of death, and the errors were compared. Results: Among a total of 87 DCs issued in the ED, 97.5% and 100% were confirmed to contain at least 1 error in the disease (n = 40) and external (n = 47) groups, respectively. The median numbers of errors in the analyzed DCs were 2.0 and 3.0 in the disease and external groups, respectively (P = 0.004). In the disease group, the most frequent major error was reporting only a secondary condition as the underlying cause of death without antecedent causes (6 cases [15.0%]). In the external group, the most frequent major error was writing 2 or more causes in a single line for the cause of death (17 cases [36.2%]). In both groups, the most common minor error was omission of a time interval record for the cause of death (disease, 37 cases [92.5%]; external, 42 cases [89.4%]).Conclusion: Any errors were identified in 98.9% of pediatric DCs issued in the ED, and the total number of errors was larger in the external group.

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“…Previous studies [15][16][17]20,29,39,40 have reported that certifiers' education has a substantial impact on the quality of DC completion. Therefore, improving the certifiers' knowledge and skills for completing DCs according to the WHO guidelines, using a robust quality control mechanism for DC documentation, and planning automated systems for recording, selecting, and coding the death causes can play a key role in enhancing the completion quality of DCs, their coding, and finally, the extracted mortality statistics.…”

Section: Correlation Between Minor Errors With Other Variablesmentioning

confidence: 99%

Quality of death certificates completion for COVID‐19 cases in the southeast of Iran: A cross‐sectional study

Alipour

Karimi

Miri‐Aliabad

et al. 2022

Health Science Reports

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Background and Aim: Death certificate (DC) data provides a basis for public health policies and statistics and contributes to the evaluation of a pandemic's evolution. This study aimed to evaluate the quality of the COVID-19-related DC completion.Methods: A descriptive-analytical study was conducted to review a total of 339 medical records and DCs issued for COVID-19 cases from February 20 to September 21, 2020. A univariate analysis (χ 2 as an unadjusted analysis) was performed, and multiple logistic regression models (odd ratio [OR] and 95% confidence interval [CI] as adjusted analyses) were used to evaluate the associations between variables.Results: Errors in DCs were classified as major and minor. All of the 339 examined DCs were erroneous; more than half of DCs (57.8%) had at least one major error; all of them had at least one minor error. Improper sequencing (49.3%), unacceptable underlying causes of death (UCOD) (33.3%), recording more than one cause per line (20.1%), listing general conditions instead of specific terms (11.2%), illegible handwriting (8.3%), competing causes (6.2%), and mechanisms (3.8%) were most common major errors, respectively. Absence of time interval (100%), listing mechanism allying with UCOD (51.6%), using abbreviations (45.4%), missing major comorbidities (16.5%), and listing major comorbidities in part I (16.5%) were most common minor errors, respectively. Conclusion:The rate of both major and minor errors was high. Using automated tools for recording and selecting death cause(s), promoting certifiers' skills on DC completion, and applying quality control mechanisms in DC documentation can improve death data and statistics.

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Does the Application of International Classification of Disease Codes for the Cause of Death on Death Certificates Reduce Garbage Codes?

Cited by 3 publications

References 23 publications

Do Death Certificate Errors Decrease as Clinical Experience in an Emergency Department Increases?

Do Death Certificate Errors Decrease as Clinical Experience in an Emergency Department Increases?

Errors in pediatric death certificates issued in an emergency department

Quality of death certificates completion for COVID‐19 cases in the southeast of Iran: A cross‐sectional study

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