فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: A Medical Certificate of Cause of Death (MCCD) is a vital document issued by adoctor and has a prescribed format published by the World Health Organization. It is an essentialtool to obtain scientific and reliable information in terms of the cause of mortality. The aim of thisstudy is to assess the knowledge about MCCD and to evaluate the impact of sensitization trainingon the MCCD among the physicians working in the trauma and emergency department in a TertiaryCare Centre.MATERIALS AND METHODS: A quasi‑experimental quality improvement hospital‑based studyexecuted in Trauma and Emergency Department of Tertiary Care Hospital in Chhattisgarh State,India. The physicians posted in the Trauma and Emergency Department were participated in thestudy and attended the sensitization training session on MCCD. Statistical analysis used; the datawere entered in Microsoft Excel and analyzed with SPSS version 20 statistical software. Mean scoresand standard deviation (SD) were used for pre and posttest data while statistical significance wastested using the paired t‑test. P < 0.05 was considered as significant. The technical and medicalerrors in MCCD forms were depicted in percentages.RESULTS: A total of 54 physicians completed the study, including 42 junior resident doctors, 6 seniorresident doctors, and 6 faculties. There was a significant difference in the scores before (M = 4.39,SD = 1.571) and after (M = 7.5, SD = 0.885) the training (t = 17.6, P < 0.0001). The participantsshowed substantial improvement by reduction in technical errors from 28% to 14% while the medicalerror also slashed down from 42% to 16%.CONCLUSIONS: Sensitization and educational training should be carried out consistently on regularintervals to improve the knowledge of physicians regarding the appropriate filling of MCCD andminimize the errors in MCCD, ultimately this will enhance usability and comparability of mortalitystatistics generated from International Classification of Diseases data.Keywords:Death certificate, effectiveness of training, errors, medical certification of cause of deathBACKGROUND: A Medical Certificate of Cause of Death (MCCD) is a vital document issued by adoctor and has a prescribed format published by the World Health Organization. It is an essentialtool to obtain scientific and reliable information in terms of the cause of mortality. The aim of thisstudy is to assess the knowledge about MCCD and to evaluate the impact of sensitization trainingon the MCCD among the physicians working in the trauma and emergency department in a TertiaryCare Centre.MATERIALS AND METHODS: A quasi‑experimental quality improvement hospital‑based studyexecuted in Trauma and Emergency Department of Tertiary Care Hospital in Chhattisgarh State,India. The physicians posted in the Trauma and Emergency Department were participated in thestudy and attended the sensitization training session on MCCD. Statistical analysis used; the datawere entered in Microsoft Excel and analyzed with SPSS version 20 statistical software. Mean scoresand standard deviation (SD) were used for pre and posttest data while statistical significance wastested using the paired t‑test. P < 0.05 was considered as significant. The technical and medicalerrors in MCCD forms were depicted in percentages.RESULTS: A total of 54 physicians completed the study, including 42 junior resident doctors, 6 seniorresident doctors, and 6 faculties. There was a significant difference in the scores before (M = 4.39,SD = 1.571) and after (M = 7.5, SD = 0.885) the training (t = 17.6, P < 0.0001). The participantsshowed substantial improvement by reduction in technical errors from 28% to 14% while the medicalerror also slashed down from 42% to 16%.CONCLUSIONS: Sensitization and educational training should be carried out consistently on regularintervals to improve the knowledge of physicians regarding the appropriate filling of MCCD andminimize the errors in MCCD, ultimately this will enhance usability and comparability of mortalitystatistics generated from International Classification of Diseases data.