Error in Filling Death Certification on HIV Cases at a Teaching Hospital

Abstract

Death certification is essential information to
determine an underlying cause of death through people
who is death with HIV case. The death certificate, as we
know it, is used primarily to state the leading cause of
death of patients with HIV cases. Moreover, data from
causes of death are used as a significant part of health
statistics for epidemiological research to determine
intervention targets, program policies, and evaluation
of HIV programs. However, a death certificate has a risk
of various errors because of physician understudy how
to fill it correctly. Hence, we evaluated and analyzed
the mistake in the underlying cause of death statements
in HIV cases indeed. This research is a descriptive study
with a retrospective approach. This research conducted at
Soetomo Hospital in the year 2018 and examined 86 death
certification. We tested the accuracy of all of them with a
review, both researcher and well-trained coder. We found
writing only the immediate cause of death or mode of death
rather than the underlying cause at 17 times; documenting
multiple reasons on one line at 47 times; high improbable
sequences at 37 times; and repeat the same diagnosis at
one death certification at once. To fix it, it needs two way
that provides a physician with a good knowledge of the
importance of establishing a definitive cause of death and
a way to fill it as correct as a rule from WHO.