중독 관련 사망에서의 사망진단서 오류
Errors of Death Certificate for Poisoning Related Death
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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.
Abstract
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.
참고문헌 (22)
- 나종인, "시체검안서 또는 사망진단서와 부검 후 사인의 불일치에 대한 연구 (Ⅱ)", 대한법의학회지, 36(1), pp.27~33 (2012), 대한법의학회[DOI]
- "Official category of death changed for farmer Baek Nam-ki, from “illness” to “external causes”" (2017)[URL]
- Akakpo PK, "Review of errors in the issue of medical certificates of cause of death in a tertiary hospital in Ghana", Ghana Med J, 51, pp.30~35 (2017)
- Al-Kubaisi NJ, "Death certification practice in Qatar", Public Health, 127, pp.854~859 (2013)
- Cambridge B, "The accuracy of death certificate completion in a suburban community", Am J Forensic Med Pathol, 31, pp.232~235 (2010)
- Filippatos G, "The quality of death certification practice in Greece", Hippokratia, 20, pp.19~25 (2016)
- 강은진, "전공의를 대상으로 시행한 사망진단서 작성법 교육의 효과", 대한응급의학회지, 29(5), pp.529~550 (2018), 대한응급의학회
- 김현애, "일부 의과대학생들의 사망진단서 작성의 정확성 평가 - 사망진단서 작성법 교육 유형에 따른 비교 -", 농촌의학.지역보건, 35(1), pp.89~98 (2010), 한국농촌의학.지역보건학회
- Lu TH, "Factors associated with errors in death certificate completion. A national study in Taiwan", J Clin Epidemiol, 54, pp.232~238 (2001)
- Maharjan L, "Errors in cause-of-death statement on death certificates in intensive care unit of Kathmandu, Nepal", BMC Health Serv Res, 15, pp.507~ (2015)
- Myers KA, "Improving the accuracy of death certification", CMAJ, 158, pp.1317~1323 (1998)
- 윤성희, "3차병원 권역응급의료센터에서 발부된 사망진단서의 오류 분석", 대한법의학회지, 41(3), pp.61~66 (2017), 대한법의학회
- Statistics Korea, "Korean Standard Classification of Diseases:Daejeon", ~ (2015)
- Jun Hyuk Chang, "Analysis of Errors on Death Certificate for Trauma Related Death", 대한외상학회지, 32(3), pp.127~135 (2019), 대한외상학회
- 이혜지, "Concordance between the underlying causes of death on death certificates written by three emergency physicians", Clinical and Experimental Emergency Medicine, 6(3), pp.218~225 (2019), 대한응급의학회[DOI]
- World Health Organization, "International statistical classification of diseases and related health problems : ICD-10. 5th" (2016), World Health Organization
- Korean Medical Association, "How to write and issue medical certificates" (2015)
- 김문영, "사망진단서 개선을 위한 제언", 대한의사협회지, 61(4), pp.259~267 (2018), 대한의사협회[DOI]
- Madadin M, "Common errors in writing the cause of death certificate in the Middle East", J Forensic Leg Med, 68, pp.101864~ (2019)
- Schuppener LM, "Death Certification : Errors and Interventions", Clin Med Res, 18, pp.21~26 (2020)
- Park DK, "Errors in death certificates in Korea", J Korean Acad Fam Med, 13, pp.442~449 (1992)
- Wood KA, "Death Certification in Northern Alberta : Error Occurrence Rate and Educational Intervention", Am J Forensic Med Pathol, 41, pp.11~17 (2020)