An Evaluation of the Quality of the Death Certificates from the Hospital Amor de Patria, San Andrés Island, Colombia, in 2014

Authors

  • Carlos Andrés Montalvo Arce South Colombian University https://orcid.org/0000-0003-0309-7859
  • Yendy Shandira Kelly Forbes Secretariat of Health San Andrés, Providencia and Santa Catalina

DOI:

https://doi.org/10.17533/udea.rfnsp.v36n3a07

Keywords:

death certificate, causes of death, vital statistics, quality control, Hospital Amor de Patria (San Andrés Islas, Colombia)

Abstract

Introduction: The quality of the medical death certificate in the ‘causes’ section is of fundamental importance in public health, in addition to its ethical, medico-legal and juridical consequences.
Objective: To evaluate the completion quality of the death certificates and the causes recorded at the Amor de Patria Hospital on the island of San Andrés (Colombia). Methodology: Cross-sectional descriptive study, using non-probability sampling for convenience of year selection. The evaluation categories were defined: “causes of death”, “direct cause”, “intermediate cause”, “basic cause of death”, “other pathological states” and “sequence”. Additionally, a review of the completion quality of the causes of death was carried out from two points of view: the structure and consistency of the diagnoses completed on the death certificate. Calculation was made of the proportions of typed errors, consistency and kappa statistic for the causes according to the 6/67 list of the Pan American Health Organization. Results: 172 death certificates were completed. According to the place of death, 131 deaths occurred in the health institution and 41 at home; in 9.9% an error of basic cause was identified, and in 10.5% the absence of the sequence; there was consistency in the basic cause in 55.9% of the certifications. Conclusion: It is necessary to enhance the training of institutional human talent in the certification of vital facts, given the identification of error in 28% of death certificates, with a moderate consistency in the causes of death, with a kappa statistic of 0.58.
|Abstract
= 505 veces | PDF (ESPAÑOL (ESPAÑA))
= 183 veces|

Downloads

Download data is not yet available.

Author Biographies

Carlos Andrés Montalvo Arce, South Colombian University

Doctor. Master in Public Health. South Colombian University. Neiva. Colombia.

Yendy Shandira Kelly Forbes, Secretariat of Health San Andrés, Providencia and Santa Catalina

Nurse. Secretariat of Health San Andrés, Providencia and Santa Catalina. Colombia.

 

References

(1). Colombia, Ministerio de Salud. Resolución 1346, por la cual se adopta el Manual de Principios y Procedimientos del sistema de Registro Civil y Estadísticas Vitales y los formatos únicos para la expedición de los certificados de Nacido Vivo y de Defunción (1997 may. 5).

(2). Colombia, Ministerio de Salud. Decreto 1171, por el cual se reglamentan los artículos 50, 51 de la Ley 23 de 1981 (1997 abr. 28).

(3). Colombia, Ministerio de Salud. Decreto 786, por el cual se reglamenta parcialmente el Título IX de la Ley 09 de 1979, en cuanto a la práctica de autopsias clínicas y médico-legales, así como viscerotomías y se dictan otras disposiciones (1990 abr. 16).

(4). Beitia PN, Rey H, Ortiz EI, Mejía J, Quintero CA, Romero E. Aplicación de la metodología Gemas Malitas para asignar las causas básicas de muerte feto infantil, Cali 1999. Colomb Med. 2001;32(4):163-8.

(5). Olazabal Guerra JD, Zamora Jova I, Acuña Martínez A, Cardozo de Armas E, Lorenzo Pérez MB. Calidad de las estadísticas de mortalidad en la provincia Camagüey según cuantificación de causas de muertes imprecisas. Arch. Méd. Camagüey. 2015;19(5):459-68.

(6). Suárez de Díaz CE, Suárez D. Calidad en el certificado de defunción. Hospital “Ruiz y Paéz”, 2005. SABER Rev Multidiscip del Cons Investig la Univ Oriente. 2007;19(1):56-64.

(7). Colombia, Congreso de la República. Ley 23, por la cual se dictan normas en materia de ética médica (1981 feb. 18).

(8). Berro Rovira G. Sobre la certificación de la defunción. Rev. Urug. Cardiol. [internet]. 2012 [citado 2017 oct. 17]; 27(1):44-53. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-04202012000100008

(9). Barreiro Ramos H, Barreiro Peñaranda A, Fernández Viera E, Marrero Martín O. Certificado médico de defunción del adulto. Rev. Cuba. Med. Gen. Integr. [internet]. 2004 [citado 2017 oct. 17]; 20(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252004000400011&lng=es

(10). Organización Panamericana de la Salud. Boletín Epidemiológico. 20 años. Boletín Epidemiológico ops [internet]. 1999 [citado 2017 oct. 17]; 20(3):4-9. Disponible en: http://cursos.campusvirtualsp.org/file.php/89/modulo1/content/asis-conceptos.pdf

(11). Departamento Administrativo Nacional de Estadística (dane) . Metodología Estadísticas Vitales [internet]. Bogotá, Colombia: Dirección de Difusión, Mercadeo y Cultura Estadística; [citado 2017 oct. 17] 2012. Disponible en: http://www.dane.gov.co/files/investigaciones/fichas/Estadisticas_vitales12.pdf

(12). Valdez W, Gutiérrez C, Siura G. Análisis de la calidad de la certificación de defunciones en la región Ica, 2007. Rev. Peru. Epidemiol. [internet]. 2013 [citado 2017 oct. 17]; 17(1):1-7. Disponible en: http://www.redalyc.org/articulo.oa?id=427739431010

(13). Vecino Ortiz AI. Precisión en el diligenciamiento de los certificados de defunción en el Instituto Nacional de Cancerología, Colombia. Rev. Colomb. Cancerol. 2006;10(3):170-82.

(14). Mahapatra P, Shibuya K, Lopez AD, Coullare F, Notzon FC, Rao C, et al. Civil registration systems and vital statistics: Successes and missed opportunities. Lancet. 2007;370(9599):1653-63. doi: https://doi.org/10.1016/S0140-6736(07)61308-7

(15). Naghavi M, Makela S, Foreman K, O’Brien J, Pourmalek F, Lozano R. Algorithms for enhancing public health utility of national causes-of-death data. Popul. Health. Metr. 2010;8(1):1-14. doi: https://doi.org/10.1186/1478-7954-8-9

(16). Colombia, Ministerio de Salud y Protección Social. Plan Decenal de Salud Pública 2012-2021. Mayo de 2013.

(17). Organización Panamericana de la Salud. Clasificación estadística internacional de enfermedades y problemas relacionados con la salud - Décima revisión (cie-10). International Statistical Classification of Diseases and Related Health Problems (icd-10). Washington, D.C.; 1995.

(18). Cerda L J, Villarroel del P L. Evaluación de la concordancia inter-observador en investigación pediátrica: coeficiente de Kappa. Rev. Chil. Pediatr. 2008;79(1):54-58. doi: http://dx.doi.org/10.4067/S0370-41062008000100008

(19). Colombia, Ministerio de Salud. Resolución 8430, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud (1993 oct. 4).

(20). Qaddumi JAS, Nazzal Z, Yacoup ARS, Mansour M. Quality of death notification forms in North West Bank/Palestine: A descriptive study. bmc Res Notes; 2017;8-13. doi: https://doi.org/10.1186/s13104-017-2469-0

(21). Cendales R, Pardo C. La calidad de certificación de la mortalidad en Colombia, 2002-2006. Rev Salud Pública. 2011;13(2):229-238.

(22). González Mariño MA. Utilidad de los certificados de defunción en la evaluación de las causas de muerte por cáncer de ovario en Colombia durante el año 2008. Medicas uis. 2014;27(2):9-14.

(23). González Mariño MA. Utilidad de los certificados de defunción en la evaluación de las causas de muerte por cáncer de cérvix en Colombia. Rev. Med. 2014;22(1):35-41. doi: https://doi.org/10.18359/rmed.1018

(24). Alfsen GC, Lyckander LG. Does quality control of death certificates in hospitals have an impact on cause of death statistics ? Tidsskr Nor Laegeforen [internet]. 2013 [citado 2017 oct. 17]; 133(7):750-5. Disponible en: http://tidsskriftet.no/en/2013/04/does-quality-control-death-certificates-hospitals-have-impact-cause-death-statistics, doi: 10.4045/tidsskr.12.0943

(25). Rampatige R, Mikkelsen L, Hernandez B, Riley I, Lopez AD. Systematic review of statistics on causes of deaths in hospitals: Strengthening the evidence for policy-makers. Bull World Heal Organ. 2014;92(11):807-16.

(26). Lu TH, Shau WY, Shih TP, Lee MC, Chou MC, Lin CK. Factors associated with errors in death certificate completion. A national study in Taiwan. J Clin Epidemiol. [internet]. 2001 [citado 2017 oct. 17]; 54(3):232-8. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/11223320

Downloads

Published

2018-10-30

How to Cite

1.
Montalvo Arce CA, Kelly Forbes YS. An Evaluation of the Quality of the Death Certificates from the Hospital Amor de Patria, San Andrés Island, Colombia, in 2014. Rev. Fac. Nac. Salud Pública [Internet]. 2018 Oct. 30 [cited 2025 Jan. 31];36(3):61-70. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/328887

Issue

Vol. 36 No. 3 (2018): Septiembre-Diciembre

Section

Servicios de salud

License

The contents of the articles are the responsibility of the authors

The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.

The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.

When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.

Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.

The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.

The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.

The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "

Crossref
Scopus
Google Scholar
Europe PMC