Non-referral of unnatural deaths to coroners and non-reporting of unnatural deaths on death certificates in Taiwan: Implications of using mortality data to monitor quality and safety in healthcare

Tsung Hsueh Lu, Kai Pin Shaw, Pei Yuen Hsu, Lea Hua Chen, Shiuh Ming Huang

研究成果: Article同行評審

13 引文 斯高帕斯(Scopus)

摘要

Background: Mortality data has often been used to monitor the quality of cardiac care. Objective: To investigate the under-reporting of unnatural deaths in mortality data. Method: All patients with a main discharge diagnosis ofinjury (ICD-9-CM code 800-999) who died in 2003 or 2004 were identified through record linkage between hospital discharge claims data and cause of death data in Taiwan. Percentages of unnatural deaths that had been referred to the coroner and in which injury-related information was reported on the death certificate were estimated. Results: Of 4086 known or suspected unnatural deaths, only 57% (2346/ 4086) were referred to the coroner, and in 71% (2889/4086) injury-related information was reported on the death certificate. The percentages of referral and reporting were lowest for deaths related to complications in medical and surgical care. In deaths related to fracture of the femur and the effects of a foreign body, many doctors report injury-related information on the death certificate but do not refer the certification of cause of death to the coroner. Conclusions: The sensitivity of using mortality data alone to detect known or suspected unnatural deaths varied according to the types of injury and external causes. Monitoring cause of death data linked with hospital discharge record data could provide a better system for discovering these unnatural deaths.

原文English
頁(從 - 到)200-205
頁數6
期刊International Journal for Quality in Health Care
20
發行號3
DOIs
出版狀態Published - 2008 六月

All Science Journal Classification (ASJC) codes

  • 健康政策
  • 公共衛生、環境和職業健康

指紋

深入研究「Non-referral of unnatural deaths to coroners and non-reporting of unnatural deaths on death certificates in Taiwan: Implications of using mortality data to monitor quality and safety in healthcare」主題。共同形成了獨特的指紋。

引用此