Publication:
Evaluation of Errors on Death Certificates

creativeworkseries.issn1999-6217
dc.contributor.authorAtreya, Alok
dc.contributor.authorAcharya, Bina
dc.contributor.authorYadav, Purushottam Prasad
dc.contributor.authorMenezes, Ritesh G
dc.contributor.authorNepal, Samata
dc.date.accessioned2025-07-15T07:19:14Z
dc.date.available2025-07-15T07:19:14Z
dc.date.issued2024
dc.descriptionAlok Atreya Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal http://orcid.org/0000-0001-6657-7871 Bina Acharya Lumbini Medical College, Palpa, Nepal Purushottam Prasad Yadav Lumbini Medical College, Palpa, Nepal Ritesh G Menezes Forensic Medicine Division, Department of Pathology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia https://orcid.org/0000-0002-2135-4161 Samata Nepal Department of Community Medicine, Lumbini Medical College, Palpa, Nepal https://orcid.org/0000-0001-9189-4510
dc.description.abstractBackground: Death certificates provide vital data for disease surveillance and health policy. However, errors are common globally, undermining data reliability. This study analyzed prevalence and types of errors in death certificates at a tertiary hospital in Nepal. Methods: A cross-sectional study reviewed all death certificates issued at Lumbini Medical College, Nepal from April 2020 to April 2022. Certificates were assessed for errors including improper sequencing, absent time intervals, abbreviations, illegible writing, and inaccurate immediate, antecedent, and underlying causes of death as per international guidelines. Errors were classified as major or minor. Results: Of 139 certificates, none were error-free. The most common error was incorrectly or incompletely filling the immediate cause of death (77.7%). Other errors included absent time of death (17.3%), abbreviations (57.6%), illegible writing (22.3%), and omitting the hospital stamp/medical council registration number (8.6%). Based on international criteria, 76.3% had minor errors, 23% had both major and minor errors. Conclusions: This study found a high rate of errors in death certification at a tertiary hospital in Nepal, undermining data accuracy. Regular training and monitoring with feedback are recommended to improve certification practices. Accurate cause-of-death data is vital for healthcare policy and decision-making in Nepal. Keywords: Cause of death; certification; international classification of diseases; major errors and minor errors.
dc.identifierhttps://doi.org/10.33314/jnhrc.v22i01.4941
dc.identifier.urihttps://hdl.handle.net/20.500.14572/221
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleEvaluation of Errors on Death Certificates
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
relation.isJournalIssueOfPublicationfb23c29b-322c-4f60-b235-911d72951916
relation.isJournalIssueOfPublication.latestForDiscoveryfb23c29b-322c-4f60-b235-911d72951916
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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