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Death certification: an audit of practice entering the 21st century Swift B; West KJ Clin Pathol 2002[Apr]; 55 (4): 275-9AIMS: Death certification, a legal duty of doctors, continues to be poorly performed despite Royal College recommendations and increased education at an undergraduate level. Therefore, the current performance of certifying doctors was audited within a large teaching hospital entering the new century. METHODS: A total of 1000 completed certificate counterfoils were examined retrospectively for appropriateness of completion and the ability to construct a logical cause of death cascade. RESULTS: Only 55% of certificates were completed to a minimally accepted standard, and many of these failed to provide relevant information to allow adequate ICD-10 coding. Nearly 10% were completed to a poor standard, being illogical or inappropriately completed. CONCLUSIONS: The results show no improvement in the state of certification. Possible interventions to improve outcomes are discussed; however, in light of a recent high profile legal case a current Home Office review of death certification may suggest the passing of statutory law to ensure accurate completion.|*Cause of Death[MESH]|*Professional Competence[MESH]|Death Certificates/*legislation & jurisprudence[MESH]|England[MESH]|Hospitals, Teaching/standards[MESH]|Humans[MESH]|Medical Audit[MESH]|Physicians/*standards[MESH]|Retrospective Studies[MESH]|Terminology as Topic[MESH] |
