Journal of Anaesthesiology Clinical Pharmacology

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 30  |  Issue : 1  |  Page : 78--81

Impact of an educational intervention on errors in death certification: An observational study from the intensive care unit of a tertiary care teaching hospital


Afzal Azim, Parikshit Singh, Parmeet Bhatia, Arvind K Baronia, Mohan Gurjar, Banani Poddar, Ratender K Singh 
 Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Afzal Azim
Department of Critical Care Medicine, Lucknow - 226 014, Uttar Pradesh
India

Background: A high incidence of errors occur while filling up death certificates in hospitals. The purpose of this study was to analyze the impact of an educational intervention on errors in death certification in an intensive care unit (ICU). Patients admitted to ICUs by virtue of being critically ill have a higher mortality than other hospitalized patients. This study was designed to see if any improvement could be brought about in filling death certificates. Materials and Methods: Educating sessions, interactive workshops, and monthly audits for the department resident doctors were conducted. One hundred and fifty death certificates were audited for major and minor errors (75 before and 75 after the educational intervention) over a period of 18 months. Fisher«SQ»s exact test was applied to statistically analyze the data. Results: There was a significant decrease in major errors like mechanism without underlying cause of death (60.0 vs. 14.6%, P < 0.001), competing causes (88.0 vs. 13.3%, P < 0.001), and improper sequencing (89.3 vs. 36.0%, P < 0.001). There was also a significant decrease in minor errors such as use of abbreviations (89.3 vs. 29.3%, P < 0.001) and no time intervals (100.0 vs. 22.6%, P < 0.001). Conclusion: Authors conclude that death certification errors can be significantly reduced by educational interventional programs.


How to cite this article:
Azim A, Singh P, Bhatia P, Baronia AK, Gurjar M, Poddar B, Singh RK. Impact of an educational intervention on errors in death certification: An observational study from the intensive care unit of a tertiary care teaching hospital.J Anaesthesiol Clin Pharmacol 2014;30:78-81


How to cite this URL:
Azim A, Singh P, Bhatia P, Baronia AK, Gurjar M, Poddar B, Singh RK. Impact of an educational intervention on errors in death certification: An observational study from the intensive care unit of a tertiary care teaching hospital. J Anaesthesiol Clin Pharmacol [serial online] 2014 [cited 2020 Apr 6 ];30:78-81
Available from: http://www.joacp.org/article.asp?issn=0970-9185;year=2014;volume=30;issue=1;spage=78;epage=81;aulast=Azim;type=0