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Title: What are the barriers to accurate death certificate completion amongst junior medical staff in a Victorian regional health service?
Author: Danvers, Linda
Issue Date: 2018
Conference Name: Ballarat Health Services 2018 Annual Research Symposium: research partnerships for population, people and patients; celebrating our research partnerships with the community in the Grampians region
Conference Date: November 29th
Conference Place: Ballarat
Abstract: Background This project explored junior doctors' experience of death certificate completion, and self-reported barriers to accurate cause of death recording. Review of the literature identified studies that had retrospectively reviewed death certificates for accuracy, all of which concluded that cause of death certification is inaccurate. Other studies involved implementation of education programs with pre and post analysis. Few studies questioned doctors about their experience of death certificate completion. Objectives/Aims This qualitative study aims to identify themes expressed by junior doctors at a Regional Victorian Health Service around their experiences and issues with death certificate completion. Method A brief questionnaire was distributed to 150 junior doctors - including Likert scales and free text answers. A focus group was convened to explore the themes identified in the questionnaires. Themes identified were grouped and analysed. Results Response rate was 9.3% overall (14/150) and 25.6% (8/30) from the intern group. Five respondents indicated interest in involvement in the focus group, with three attending the session organised. Barriers identified included difficulties in determining the primary cause of death and precedent conditions, impacted by complex medical histories and multiple factors leading to death; lack of familiarity with the patients; lack of experience; time constraints and other work pressures; and differing advice provided by senior doctors and lack of availability of senior doctors. Suggestions to overcome barriers included home team review of all deaths at hand over or another formal opportunity; education; guidelines; formal review of death certificates; and improved documentation. Implications/Outcomes for Planned Research Project Recommendations to be considered for implementation at this Health Service are put forward in the areas of education, support and review.
Internal ID Number: 01261
Type: Conference
Appears in Collections:Research Output

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