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. 1997 May;66(1):13–17.

Nosological Inaccuracies in death certification in Northern Ireland. A comparative study between hospital doctors and general practitioners.

A Armour 1, H Bharucha 1
PMCID: PMC2448712  PMID: 9185484

Abstract

We aimed to audit nosological inaccuracies in death certification in Northern Ireland and to compare performance of hospital doctors and general practitioners. Nosology is the branch of medicine which treats of the classification of disease. 1138 deaths were registered in Northern Ireland in a 4-week period commencing 3/10/94. 195 of these were either registered by HM Coroners (HMC) or required further investigation by their staff; these cases were excluded from the study. The remaining 943 were analysed for wording and formulation inaccuracies according to the revised notes (1974), Northern Ireland Medical Certificate of Cause of Death. These are issued in book form by the Registrar of Births and Deaths. The commonest inaccuracies in death certification occur in the areas of poor terminology, sequence errors and unqualified mode. One or more inaccuracies were found in 317 (33.6%) of cases. In 13 of these (4%) cases, the inaccuracies were serious enough to warrant referral by the Registrar of Deaths to HM Coroner. The numbers of general practitioners and hospital doctors were recorded, with general practitioners being responsible for 122 (38%) and hospital doctors being responsible for 195 (62%) of inaccuracies.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Black D. A., Jachuck S. J. Death certification in general practice: review of records. Br Med J (Clin Res Ed) 1984 Apr 14;288(6424):1127–1129. doi: 10.1136/bmj.288.6424.1127. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. James D. S., Bull A. D. Information on death certificates: cause for concern? J Clin Pathol. 1996 Mar;49(3):213–216. doi: 10.1136/jcp.49.3.213. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Kircher T., Anderson R. E. Cause of death. Proper completion of the death certificate. JAMA. 1987 Jul 17;258(3):349–352. [PubMed] [Google Scholar]
  4. Leadbeatter S., Knight B. Anomalies and ambiguities in the disposal of the dead. J R Coll Physicians Lond. 1986 Oct;20(4):273–275. [PMC free article] [PubMed] [Google Scholar]
  5. Leadbeatter S., Knight B. Reporting deaths to coroners. BMJ. 1993 Apr 17;306(6884):1018–1018. doi: 10.1136/bmj.306.6884.1018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Leadbeatter S. Semantics of death certification. J R Coll Physicians Lond. 1986 Apr;20(2):129–132. [PMC free article] [PubMed] [Google Scholar]
  7. Maudsley G., Williams E. M. Death certification by house officers and general practitioners--practice and performance. J Public Health Med. 1993 Jun;15(2):192–201. [PubMed] [Google Scholar]
  8. Slater D. N. Certifying the cause of death: an audit of wording inaccuracies. J Clin Pathol. 1993 Mar;46(3):232–234. doi: 10.1136/jcp.46.3.232. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Start R. D., Brain S. G., McCulloch T. A., Angel C. A. Analysis of necropsy request behaviour of clinicians. J Clin Pathol. 1996 Jan;49(1):29–33. doi: 10.1136/jcp.49.1.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Start R. D., Delargy-Aziz Y., Dorries C. P., Silcocks P. B., Cotton D. W. Clinicians and the coronial system: ability of clinicians to recognise reportable deaths. BMJ. 1993 Apr 17;306(6884):1038–1041. doi: 10.1136/bmj.306.6884.1038. [DOI] [PMC free article] [PubMed] [Google Scholar]

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