Commitment in the completion of the medical death certification. Evaluation in Belém, Pará, Brazil in 2010.
| Autor: | Silva JA; Medical School, Universidade do Porto, Porto, Portugal., Yamaki VN, Oliveira JP, Teixeira RK, Santos FA, Hosoume VS |
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| Jazyk: | English; Portuguese |
| Zdroj: | Revista da Associacao Medica Brasileira (1992) [Rev Assoc Med Bras (1992)] 2013 Jul-Aug; Vol. 59 (4), pp. 335-40. Date of Electronic Publication: 2013 Jul 10. |
| DOI: | 10.1016/j.ramb.2013.03.001 |
| Abstrakt: | Objective: To evaluate the completion of medical certificates of death in Belém, state of Pará, Brazil in 2010. Methods: In the present study, 800 medical certificates of non-violent death, randomly chosen, and produced in 2010 were analyzed. Regarding correct completion, all fields of the document were evaluated, except for fields I (reserved for civil registries), V (stillbirth or death under age of one year), and VIII (external causes/violent death). Each field was analyzed regarding the following parameters: incomplete fields, fields left blank, illegibility, and incorrect completions. Results: Based on the data collected, very high rates of errors in completion were observed; 98.7% of the certificates had at least one mistake. The most remarkable and important mistakes were found in field VI, intended for the cause of death, with a frequency of error of 71.5%, especially due to vagueness. Conclusion: The very high rates of poorly completed medical certificates of death highlights a significant failure in the medical schools' curriculum, as well as a lack of continuing medical education programs addressing such topic of paramount importance. The results demonstrated neglect or lack of knowledge on the pathophysiology of diseases by physicians. (Copyright © 2013 Elsevier Editora Ltda. All rights reserved.) |
| Databáze: | MEDLINE |
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