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Byungho Choi 1 Article
Analysis of Errors on Death Certificate for Trauma Related Death
Jun Hyuk Chang, Sun Hyu Kim, Hyeji Lee, Byungho Choi
J Trauma Inj. 2019;32(3):127-135.   Published online September 30, 2019
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AbstractAbstract PDF

This study was to investigate errors of death certificate (DC) issued for patients with trauma.


A retrospective review for DC issued after death related to trauma at a training hospital trauma center was conducted. Errors on DC were classified into major and minor errors depending on their influence on the process of selecting the cause of death (COD). All errors were compared depending on the place of issue of DC, medical doctors who wrote the DC, and the number of lines filled up for COD of DC.


Of a total 140 DCs, average numbers of major and minor errors per DC were 0.8 and 3.7, respectively. There were a total of 2.8 errors for DCs issued at the emergency department (ED) and 5.4 errors for DCs issued beyond ED. The most common major error was more than one COD on a single line for DCs issued at the ED and incompatible casual relation between CODs for DCs issued beyond ED. The number of major errors was 0.5 for emergency physician and 0.8 for trauma surgeon and neurosurgeon. Total errors by the number of lines filled up for COD were the smallest (3.1) for two lines and the largest (6.0) for four lines.


Numbers of total errors and major errors on DCs related to trauma only were 4 and 0.8, respectively. As more CODs were written, more errors were found.



Citations to this article as recorded by  
  • Do Death Certificate Errors Decrease as Clinical Experience in an Emergency Department Increases?
    Jung Jun Kim, Sun Hyu Kim, Sangyup Chung, Byeong Ju Park, Soobeom Park, Song Yi Park
    Journal of Korean Medical Science.2024;[Epub]     CrossRef
  • Does the Application of International Classification of Disease Codes for the Cause of Death on Death Certificates Reduce Garbage Codes?
    Soobeom Park, Sun Hyu Kim
    INQUIRY: The Journal of Health Care Organization, .2022; 59: 004695802210814.     CrossRef
  • Factors Associated with Major Errors on Death Certificates
    Sangyup Chung, Sun-Hyu Kim, Byeong-Ju Park, Soobeom Park
    Healthcare.2022; 10(4): 726.     CrossRef
  • Errors in pediatric death certificates issued in an emergency department
    Byeong Ju Park, Sun Hyu Kim
    Pediatric Emergency Medicine Journal.2022; 9(1): 17.     CrossRef
  • Quality of death certificates completion for COVID‐19 cases in the southeast of Iran: A cross‐sectional study
    Jahanpour Alipour, Afsaneh Karimi, Ghasem Miri‐Aliabad, Farzaneh Baloochzahei‐Shahbakhsh, Abolfazl Payandeh, Roxana Sharifian
    Health Science Reports.2022;[Epub]     CrossRef
  • Common errors in reporting cause-of-death statement on death certificates: A systematic review and meta-analysis
    Jahanpour Alipour, Abolfazl Payandeh
    Journal of Forensic and Legal Medicine.2021; 82: 102220.     CrossRef

J Trauma Inj : Journal of Trauma and Injury