English  |  正體中文  |  简体中文  |  Items with full text/Total items : 17778/20119 (88%)
Visitors : 12259268      Online Users : 121
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/27700

    標題: Improper cause-of-death statements by specialty of certifying physician: a cross-sectional study in two medical centres in Taiwan
    作者: Cheng, Tain-Junn
    Lee, Fang-Chuan
    Lin, Shio-Jean
    Lu, Tsung-Hsueh
    貢獻者: 職業安全衛生系
    關鍵字: Certificate Completion
    日期: 2012
    上傳時間: 2014-03-21 16:18:06 (UTC+8)
    出版者: Bmj Publishing Group
    摘要: Objective: To determine the frequency of various types of improper cause-of-death (COD) statements reported on death certificates and whether the frequency differed by specialty of the certifying physician.Design: Cross-sectional descriptive study.Setting: 2 medical centres in Tainan, Taiwan.Participants: A total of 2520 death certificates issued by 230 physicians.Main outcome measures: 4 types of improper COD statements based on the criteria of correctness of the COD causal sequence and the level of specificity of underlying COD selected.Results: Of 2520 death certificates analysed, 502 (19.9%) had at least one type of improper COD statement. However, only 235 (9.3%) sustained major errors, that is, 91 (3.6%) reported incorrect causal sequence and 144 (5.7%) reported only mechanism(s) of death (such as respiratory failure, heart failure, sepsis and acidosis). The improper reporting rate was highest among nephrologists (53%, 24/45), followed by infectious diseases physicians (45%,29/65) and was lowest among oncologists (6%, 57/995).Conclusions: About one-fifth issued death certificates sustained improper COD statements and only onetenth had noteworthy errors that would threaten the quality of COD statistics. The frequency varied by specialty of the certifying physician because physicians in different specialties manage different types of diseases and conditions with contrasting complexities in terms of determining the causal sequence and specificity of COD statements.
    關聯: Bmj Open, 2(4), e001229
    Appears in Collections:[職業安全衛生系(含防災所)] 期刊論文

    Files in This Item:

    File Description SizeFormat

    All items in CNU IR are protected by copyright, with all rights reserved.

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback