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<p>The obligatory medical post-mortem examination is used to determine death, as well as cause, manner and time of death. After the medical post-mortem examination, the death certificate has to be complete. Health departments are responsible for checking the death certificates. Attention is paid to the formal and substantive correctness of the certificates in the sense of a&#xa0;plausibility check. Since 2018, the Institute of Forensic Medicine of the University Medical Center Greifswald has been checking death certificates in Mecklenburg–West Pomerania for the district of Western Pomerania–Greifswald on behalf of the responsible health department. The aim of this retrospective analysis was to investigate what type of errors had to be corrected on the death certificates. Therefor, the errors in the death certificates in the period from 01&#xa0;January 2018–31&#xa0;December 2021 were evaluated with regard to their frequency and development. The errors were recorded in predefined categories and assigned to various doctor categories. The frequency of errors on the death certificates of the district varied between 8.31% and 12.72%. The categories of formal errors accounted for up to 60% of the incorrect death certificates, with “coding missing” (44%) in most cases. The erroneous certificates without coding according to ICD-10 decreased during the investigation period. There was a&#xa0;statistical significance. In the category of diagnostic errors, 33% of erroneous death certificates were attributable to “no reasonable causal link”. In the case of diagnostic errors, there was a&#xa0;statistic significant decrease in the categories “no diagnosis given”. The number of errors on the death certificates does not coincide with the results of a&#xa0;study from the Institute of Forensic Medicine Rostock, but with studies from Bavaria. Completion of death certificates and the determination of manner of death remain difficult. Nationwide death certificates would simplify working with the document and simplify teaching and qualification.</p>

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Möglichkeiten der Rechtsmedizin zur Qualitätsverbesserung der obligatorischen ärztlichen Leichenschau durch die Kontrolle der Todesbescheinigungen

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  • 发表日期：

    2025年9月24日

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  • F. Stobbe,
  • K.-P. Philipp,
  • B. Bockholdt

摘要

The obligatory medical post-mortem examination is used to determine death, as well as cause, manner and time of death. After the medical post-mortem examination, the death certificate has to be complete. Health departments are responsible for checking the death certificates. Attention is paid to the formal and substantive correctness of the certificates in the sense of a plausibility check. Since 2018, the Institute of Forensic Medicine of the University Medical Center Greifswald has been checking death certificates in Mecklenburg–West Pomerania for the district of Western Pomerania–Greifswald on behalf of the responsible health department. The aim of this retrospective analysis was to investigate what type of errors had to be corrected on the death certificates. Therefor, the errors in the death certificates in the period from 01 January 2018–31 December 2021 were evaluated with regard to their frequency and development. The errors were recorded in predefined categories and assigned to various doctor categories. The frequency of errors on the death certificates of the district varied between 8.31% and 12.72%. The categories of formal errors accounted for up to 60% of the incorrect death certificates, with “coding missing” (44%) in most cases. The erroneous certificates without coding according to ICD-10 decreased during the investigation period. There was a statistical significance. In the category of diagnostic errors, 33% of erroneous death certificates were attributable to “no reasonable causal link”. In the case of diagnostic errors, there was a statistic significant decrease in the categories “no diagnosis given”. The number of errors on the death certificates does not coincide with the results of a study from the Institute of Forensic Medicine Rostock, but with studies from Bavaria. Completion of death certificates and the determination of manner of death remain difficult. Nationwide death certificates would simplify working with the document and simplify teaching and qualification.