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Programa piloto para la mejora de la certificación de las causas de muerte en atención primaria en Cataluña

2006; Elsevier BV; Volume: 20; Issue: 6 Linguagem: Inglês

10.1157/13096527

1697-8498

Rafael Abós, Glòria Pérez, Enric Rovira, Jaume Canela, Jaume Domènech, Josep R. Bardina,

Medical Malpractice and Liability Issues

The BEDTAR pilot program assessed changes in the quality of certification of death's causes after a training session for the primary care physicians in the Tarragona's Area of Catalonia, in the Northeast of the Iberian Peninsula.Before-after evaluative study with intervention and without control group.The study population was the physicians of the reformed primary health care network of the AT.The training session began with a test consisting of certifying 3 deaths. This test was followed by a theoretical and practical seminar. The session concluded with a final test consisting on certifying the same 3 cases. The variables used to evaluate the quality the certification were: logical sequence the death causes, correct position on death certificate of the immediate, intermediate and basic causes, precise use of cardiac arrest and other ill-defined diseases, appropriate use of abbreviations, legibility, vocabulary and, finally, use of all the available information.The final participation of the study population was 71% and the global program efficacy was 59%.The BEDTAR program improved the quality of certification and emphasized the relevancy and the applicability of the results.