EVALUATION OF MEDICAL CERTIFICATION OF CAUSE OF DEATH IN ONE OF THE TEACHING HOSPITALS OF AHMEDABAD.

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V. R. S. Bala D. V, “EVALUATION OF MEDICAL CERTIFICATION OF CAUSE OF DEATH IN ONE OF THE TEACHING HOSPITALS OF AHMEDABAD”., ijmhs, vol. 2, no. 5, Oct. 2013.
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Abstract

Death certification is a public health surveillance tool and is very important because morbidity and mortality statistics often come from death-certification data.The present study evaluated the filled in MCCD forms in one of the teaching hospitals of Ahmedabad.
Aims: To improve the quality of Medical Certification of Cause of Death.
Objectives:
 To evaluate the completeness and accuracy of Medical Certification of Cause of Death (MCCD).
 To recommend necessary corrective measures to improve completeness and accuracy of MCCD form.
Methods and Material: An observational descriptive study of 3212 deaths which occurred in V S General Hospital, Ahmedabad during the period of 1stJanuary 2009 and 31stDecember 2009 was done. MCCD forms filled up by the doctors were studied and observations were made in the pre-designed proforma. Each case paper was reviewed carefully and personal observations were made for evaluation purpose. Data was entered in the Microsoft excel and SPSS software was used for analysis. Z test was used for a test of significance. Results: During the study period of one year 3,212 (7.7%) deaths took place. The completeness of variables such as immediate cause, antecedent cause and underlying cause were 99.8%, 97.7% and 98.4% respectively in MCCD forms. Accuracy of immediate, antecedent and underlying cause of death was 44%, 55% and 69.9%, respectively. Only 1.2% of the MCCD forms were fully accurate as per guidelines of Manual on MCCD, 2009. Conclusions: Overall accuracy in filling up of MCCD forms need to be improved. Regular training of all post graduate students on MCCD to clarify their doubts regarding filling up of forms.

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