초록

Purpose: This study examines errors in death certificates (DCs) issued to cases of poisoning. Methods: DCs issued in poisoning cases were retrospectively reviewed. Errors in the DC were classified as major and minor errors, and were evaluated in accordance with their impact on the process of selecting the cause of death (COD). Results: A total of 79 DCs were evaluated; 43 (54.4%) DCs were issued in the emergency department (ED), and 36 (45.6%) DCs were issued outside the ED. The average major and minor errors per DC were determined to be 0.4 and 3.3, respectively. Moreover, an average of 3.0 errors were discovered in DCs issued at the ED, and 4.4 errors in DCs issued outside the ED. The most common major errors were incorrect manner of death (11.4%, 9/79), followed by unacceptable COD (7.6%, 6/79), and the mode of dying as an underlying COD (5.1%, 4/79). The common minor errors most frequently encountered were incorrect time interval (86.1%, 68/79), followed by incorrect other significant conditions (73.4%, 58/79), and no record for date of onset (62.0%, 49/79). Conclusion: Our results indicate that the total numbers of major errors, minor errors and cases of misjudged cause of death were greater in DCs issued outside the ED than in DCs issued at the ED. The most frequently quoted major error of DCs related to poisoning was determined to be the incorrect manner of death.

키워드

Death certificates, Cause of death, Poisoning

참고문헌(22)open

  1. [학술지] 나종인 / 2012 / 시체검안서 또는 사망진단서와 부검 후 사인의 불일치에 대한 연구 (Ⅱ) / 대한법의학회지 36 (1) : 27 ~ 33

  2. [인터넷자료] Kim YJ / Official category of death changed for farmer Baek Nam-ki, from “illness” to “external causes” / The Hankyoreh

  3. [학술지] Akakpo PK / 2017 / Review of errors in the issue of medical certificates of cause of death in a tertiary hospital in Ghana / Ghana Med J 51 : 30 ~ 35

  4. [학술지] Al-Kubaisi NJ / 2013 / Death certification practice in Qatar / Public Health 127 : 854 ~ 859

  5. [학술지] Cambridge B / 2010 / The accuracy of death certificate completion in a suburban community / Am J Forensic Med Pathol 31 : 232 ~ 235

  6. [학술지] Filippatos G / 2016 / The quality of death certification practice in Greece / Hippokratia 20 : 19 ~ 25

  7. [학술지] 강은진 / 2018 / 전공의를 대상으로 시행한 사망진단서 작성법 교육의 효과 / 대한응급의학회지 29 (5) : 529 ~ 550

  8. [학술지] 김현애 / 2010 / 일부 의과대학생들의 사망진단서 작성의 정확성 평가 - 사망진단서 작성법 교육 유형에 따른 비교 - / 농촌의학.지역보건 35 (1) : 89 ~ 98

  9. [학술지] Lu TH / 2001 / Factors associated with errors in death certificate completion. A national study in Taiwan / J Clin Epidemiol 54 : 232 ~ 238

  10. [학술지] Maharjan L / 2015 / Errors in cause-of-death statement on death certificates in intensive care unit of Kathmandu, Nepal / BMC Health Serv Res 15 : 507

  11. [학술지] Myers KA / 1998 / Improving the accuracy of death certification / CMAJ 158 : 1317 ~ 1323

  12. [학술지] 윤성희 / 2017 / 3차병원 권역응급의료센터에서 발부된 사망진단서의 오류 분석 / 대한법의학회지 41 (3) : 61 ~ 66

  13. [기타] Statistics Korea / 2015 / Korean Standard Classification of Diseases:Daejeon

  14. [학술지] Jun Hyuk Chang / 2019 / Analysis of Errors on Death Certificate for Trauma Related Death / 대한외상학회지 32 (3) : 127 ~ 135

  15. [학술지] 이혜지 / 2019 / Concordance between the underlying causes of death on death certificates written by three emergency physicians / Clinical and Experimental Emergency Medicine 6 (3) : 218 ~ 225

  16. [단행본] World Health Organization / 2016 / International statistical classification of diseases and related health problems : ICD-10. 5th / World Health Organization

  17. [단행본] Korean Medical Association / 2015 / How to write and issue medical certificates

  18. [학술지] 김문영 / 2018 / 사망진단서 개선을 위한 제언 / 대한의사협회지 61 (4) : 259 ~ 267

  19. [학술지] Madadin M / 2019 / Common errors in writing the cause of death certificate in the Middle East / J Forensic Leg Med 68 : 101864

  20. [학술지] Schuppener LM / 2020 / Death Certification : Errors and Interventions / Clin Med Res 18 : 21 ~ 26

  21. [학술지] Park DK / 1992 / Errors in death certificates in Korea / J Korean Acad Fam Med 13 : 442 ~ 449

  22. [학술지] Wood KA / 2020 / Death Certification in Northern Alberta : Error Occurrence Rate and Educational Intervention / Am J Forensic Med Pathol 41 : 11 ~ 17