Praveen Arora Associate Professor, Dept. of Forensic Medicine and Toxicology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018, India
Madhusudan R. Petkar Associate Professor, Dept. of Forensic Medicine and Toxicology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018, India
Ashwinikumar B. Sapate Associate Professor, Dept. of Forensic Medicine and Toxicology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018, India
Ajay L. Ghangale Associate Professor, Dept. of Forensic Medicine and Toxicology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018, India
Sandesh B. Datir Associate Professor, Dept. of Forensic Medicine and Toxicology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018, India
Address for correspondence: Praveen Arora, Associate Professor, Dept. of Forensic Medicine and Toxicology, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune, Maharashtra 411018, India E-mail: fmtpraveen@gmail.com
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Received : September 20, 2017
Accepted : September 23, 2017
Published : December 31, 2017
Abstract
In the study, evaluation of information for completion of non medical variables of Medical Certificate of Cause of Death (MCCD) like deceased’s name, age, sex, date and time of death, doctor’s signature and date of verification etc. filled in mock death certificates was done. We also studied and assessed the awareness, skill, attitude and knowledge amongst medical professionals (MPs) in documenting MCCD completely and accurately. Name, sex and age of the deceased were correctly and completely mentioned by 77.21%, 90.48% and 89.12% physicians respectively. Exact date and time of death was reported by 87.07% and 88.10% doctors respectively. Doctor’s signature column was filled by 75.51% physicians while date of verification was mentioned by only 63.95% doctors. This study reflects inadequate knowledge, practice, training and lack of awareness about importance of MCCD; carelessness and negligence on the part of certifying doctors.
References
1. Bokil PV. Death certificate. QPMPA J Med Sci. 2002;16(3):846.
2. The Registration of Birth and Deaths Act, 1969 [Act No. 18 of 1969].
3. New Delhi: Medical Certification of Cause of Death, presented at Vigyan Bhavan; Jan 27th–28th, [Last accessed on 24 Aug 2017]. Status of Medical Certification of Cause of Death in India. Available From: http://gujhealth.gov.in/basicstatastics/pdf/ MCCD.
4. World Health Organization. International Classification of diseases. Manual of the international statistical classification of diseases, injuries, and causes of death. 9th revision. Geneva: WHO, 1977.
5. Physician’s Manual on Medical Certification of Cause of Death, Vital Statistics Division, Office of the Registrar General, India, Ministry of Home Affairs, New Delhi, 4th Edition.
6. Shantibala K, Akoijam BS, Usharani L, Singh HN, Laishram J, Singh TA. Death certification in a teaching hospital a one year review. Ind J Pub Health. 2009 JanMar;53(1):13.
7. Cina SJ, Selby DM, Clark B. Accuracy of death certification in two tertiary care military hospitals. Mil Med.1999 Dec;164(12):8979.
8. Kathryn A, Myers KA, Farquhar DRE. Improving the accuracy of death certification. Cand Med Assoc J. 1998 May;158(10):131723.
9. Maudsley G, William EM. Inaccuracy in death certification: Where are we now? J Public Health Med. 1996 Mar;18(1):5966.
10. Smith Sehdev AE, Hutchins GM. Problems with proper completion and accuracy of the cause of death statement. Arch Intern Med. 2001 Jan;161(2):27784.
11. Agarwal SS, Vijaykumar AG, Kumar L, Bastia BK, Chavali KH. A Study on Appraisal of Effectiveness of the MCCD Scheme. J Indian Acad Forensic Med. 2010 Oct;32(4):318320.
12. Shah VR, Bala DV. Evaluation of medical certification of cause of death in one of the teaching hospitals of Ahmedabad. IJMHS. 2012 SepOct;2(5):118121.
13. ElNour M, Amel EL, Amin M, Ibrahim Y, Abdel HA, Mahgoub M. Evaluation of death certificates in the pediatric hospitals in Khartoum state during 2004. Sudanese Journal of Public Health. 2007 Jan;2(1):2937.
14. Raje MG. Evaluation of errors and its etiological relevance with variables associated with death certificate. J Indian Acad Forensic Med. 2011 JanMar;33(1):5056.
15. Ganasva AS, Bariya BR, Shringarpure K, Damor JR. Assesment of medical certificate of cause of death (MCCD) in Vadodara Municipal Corporation, Gujarat, India. Int J Cur Res Rev. 2015 Dec;7(24): 1823.
16. Gupta N, Bharti B, Singhi S, Kumar P, Thakur JS. Errors in Filling WHO Death Certificate in Children: Lessons from 1251 Death Certificates. J Trop Paediatr. 2014 Feb;60(1):748.
17. Pritt BS, Hardin NJ, Richmond JA, Shapiro SL. Death certification errors at an academic institution. Arch Pathol Lab Med. 2005 Nov;129(11):14769.
18. Sibai AM, Nuwayhid I, Beydoun M, Chaaya M. Inadequacies of death certification in Beirut: who is responsible? Bull World Health Organ. 2002 July;80(7):55661.
19. Swift B,West K. Death certification: An audit of practice entering the 21st century. J Clin Pathol. 2002 April;55(4):2759.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.