Quality has previously been evaluated from several distinct viewpoints and by various agencies, without the existence of official standards. With respect to the quality of reporting of causes of death, the most frequent errors came from illegible handwriting, lack of the Initial or Fundamental cause of death (the terms in Spain for the disease or condition directly leading to death), lack of physiopathological sequence among the death causes that were provided, and multiple death causes on the same line. En: EstadГsticas BГЎsicas de Mortalidad de la RegiГіn de Murcia. At the same time, other improvements were introduced, such as the revision of documents and recovery of missing information through interviews with the certifying doctor, from the judicial courts and forensic administration, and/or revision of the clinical reports 6 6.

EvaluaciГіn de seminarios sobre criterios internacionales de la certificaciГіn mГ©dica de las causas de defunciГіn. Aprendizaje y satisfacciГіn de pre y postgrado de las causas de las causas de defunciГіn, 1992-1996. Cirera L, MartГnez C, Contreras J, Navarro C. Generalitat de Catalunya 1985., and the medical training on death certification 4 4. Departament de Sanitat i Seguretat Social. AnГ lisi de la mortalitat a Catalunya, 1983. Among the most notable measures that were undertaken were the codification of death causes by the Autonomous Communities, the development of statistical indicators 3 3. 175, de 22 de julio de 2011.ДЇollowing SpainвЂ™s return to democracy in 1978, and the decentralization of governmental and legislative powers to the Autonomous Communities, action to improve statistics of causes of death was initiated and developed, under the direction of the Spanish Statistical Office ( Instituto Nacional de EstadГstica in Spanish). Documentos mГ©dicos de la defunciГіn actualizados: certificado mГ©dico de defunciГіn y boletГn estadГstico de parto. , and since 2011 the law has specified that liveborn babies who do not survive their first 24 hours should be declared in the DC rather than the BB 1 1. This has not always been the case, as the Medical Death Certificate merged with the Statistical Death Bulletin as a single notification form in 2009 1 1. In Spain mortality statistics are produced from a single documentary source, which collates material from three possible origins: the Medical Death Certificate / Statistical Death Bulletin (DC), for the deaths of all who were not stillborn and died of natural causes the Judicial Statistical Death Bulletin (JDB) for those deaths which involved judicial intervention or the Statistical Birth Bulletin (BB) for stillborns. Mortality statistics Quality control Death certificate Cause of death International Classification of Diseases Health information systems Medical informatics Coroners and medical examiners Spain

Murcia presented lower age-adjusted death rates of less specific and ill-defined causes than the national average. The regulated recovery of the causes and circumstances of death corrected medical and judicial information. Medical certification of death has improved both form and suitability. Regional rates of ill-defined and less specific causes have reduced more than the national Spanish rates, with a difference of 10.3 ( p<0.001) and 2.8 points ( p=0.001), respectively. Retrieval of information from the various sources was successful in 93% of cases in 2001 compared with 38% at the start of the period ( p<0.001). Results:Дuring the study-period, lack of temporal sequence on the medical death certificate reduced from an initial 46% to a final 21% ( p<0.001). This was backed up by information recovery regarding the causes and circumstances of death, and evaluating the impact on the mortality statistics of ill-defined, unspecific and less specific causes. Relative quality indicators were used to evaluate the fulfilment of documentation by doctors and court staff. Methods:ДЄ descriptive epidemiological study of all the death documentation processed by the mortality registry in Murcia. The objective of this study was to describe the evolution of the activities undertaken to improve the quality of mortality statistics in the region of Murcia from 1998 to 2011. After the return of democracy to Spain and the assumption of governmental powers by the regional areas, measures were taken to improve cause-of-death statistics.

Certificacion de defuncion