Table 4.
Quality assessment of medical certificates of cause of death pre- and post-training in Peru (online system and basic training strategy)
| Assessment | MCCODs with errors (%) | ||||
|---|---|---|---|---|---|
| Baseline | After online intervention | After online and training intervention | Percentage improvement after online intervention* | Percentage improvement after online and training intervention* | |
| Incorrectly completed certificates (at least one error) | 100.0 | 69.9 | 56.7 | 30.1 | 43.3 |
| Certificates with one error | 16.3 | 18.2 | 18.6 | − 11.7 | − 14.1 |
| Certificates with two or more errors | 83.7 | 51.7 | 38.1 | 38.2 | 54.5 |
| Certificates with at least one major error† | 69.0 | 53.4 | 44.0 | 22.6 | 36.2 |
| Certificates with minor errors only | 31.0 | 16.4 | 12.7 | 47.1 | 59.0 |
| Certificates with major errors | |||||
| Multiples causes per line | 2.0 | 1.3 | 0.6 | 35.0 | 70.0 |
| Incorrect sequence of events leading to death | 40.3 | 25.9 | 17.9 | 35.7 | 55.6 |
| Illegible handwriting | – | – | – | – | – |
| Ill-defined condition entered as an underlying cause of death | 52.0 | 45.4 | 38.9 | 12.7 | 25.2 |
| Additional information on external causes not available | 5.0 | 4.5 | 2.1 | 10.0 | 58.0 |
| Additional information on neoplasms not available | 15.0 | 8.1 | 6.3 | 46.0 | 58.0 |
| Certificates with minor errors | |||||
| Presence of blank lines within the sequence of events | 11.3 | 0.2 | 0.3 | 98.2 | 97.3 |
| Abbreviations used in certifying the death | 11.7 | 4.6 | 4.1 | 60.7 | 65.0 |
| Absence of disease time interval | 96.0 | 47.1 | 30.0 | 50.9 | 68.8 |
| Additional errors on the certificate | 12.7 | 13.9 | 12.6 | −9.4 | 0.8 |
Total column percentages may total > 100% as a single MCCOD may contain more than one error
–No data available
*Negative values indicate lower quality after training
†Category may contain minor errors