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Study on death certificates and postmortem examination certificates written by Korean emergency physicians.
J Forensic Leg Med. 2020 May; 72:101960.JF

Abstract

INTRODUCTION

Statistics on death are the basis of a country's health, safety, and welfare policies. Emergency physicians issue a postmortem examination certificate (PEC) for death outside the hospital as well as a death certificate (DC) for death in the hospital. This study investigated the actual conditions and criteria for writing a DC and PEC, writing environment, and doctor's experience.

MATERIAL AND METHODS

The physicians' DC and PEC writing experience and demographic data were analyzed. The questions focused on CPR, patient's medical certificate, time and place of death, difficulty in writing the PEC and DC, and education in certificate writing.

RESULTS

229 emergency physicians were included. Physicians' opinions differed for CPR patients in terms of time of death, location, and whether or not to issue DC/PEC. The causes of death were also different. Further, 76.9% of the doctors did not have enough time to write a medical certificate and about 45% of them wrote it within 30 min; 76% had DC-related complaints, and 7.0% faced legal problems due to the DC; 93.3% of the emergency physicians stated that a coroner system is needed in South Korea.

CONCLUSION

Emergency physicians are responsible for writing DCs and PECs. The standards vary from physician to physician at the time of writing. Writing DCs and PECs is also burdensome. In South Korea, it is necessary to separate the DC and PEC, to develop national data management networks, and to introduce a postmortem examination system.

Authors+Show Affiliations

Department of Emergency Medicine, Ewha Womans University, Seoul, Republic of Korea; Department of Emergency Medicine, Halla Hospital, Jeju, Republic of Korea. Electronic address: beautifuldoctor@gmail.com.Department of Forensic Medicine, National Forensic Service, Wonju, Republic of Korea. Electronic address: rudany@korea.kr.Department of Emergency Medicine, Ewha Womans University, Seoul, Republic of Korea. Electronic address: ewhain78@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32452450

Citation

Lim, Ji Yeon, et al. "Study On Death Certificates and Postmortem Examination Certificates Written By Korean Emergency Physicians." Journal of Forensic and Legal Medicine, vol. 72, 2020, p. 101960.
Lim JY, Yang KM, Lee DH. Study on death certificates and postmortem examination certificates written by Korean emergency physicians. J Forensic Leg Med. 2020;72:101960.
Lim, J. Y., Yang, K. M., & Lee, D. H. (2020). Study on death certificates and postmortem examination certificates written by Korean emergency physicians. Journal of Forensic and Legal Medicine, 72, 101960. https://doi.org/10.1016/j.jflm.2020.101960
Lim JY, Yang KM, Lee DH. Study On Death Certificates and Postmortem Examination Certificates Written By Korean Emergency Physicians. J Forensic Leg Med. 2020;72:101960. PubMed PMID: 32452450.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Study on death certificates and postmortem examination certificates written by Korean emergency physicians. AU - Lim,Ji Yeon, AU - Yang,Kyung Moo, AU - Lee,Duk Hee, Y1 - 2020/04/13/ PY - 2019/07/23/received PY - 2020/04/02/revised PY - 2020/04/06/accepted PY - 2020/5/27/entrez KW - Death certificate KW - Emergency physician KW - Korea KW - Postmortem examination certificate SP - 101960 EP - 101960 JF - Journal of forensic and legal medicine JO - J Forensic Leg Med VL - 72 N2 - INTRODUCTION: Statistics on death are the basis of a country's health, safety, and welfare policies. Emergency physicians issue a postmortem examination certificate (PEC) for death outside the hospital as well as a death certificate (DC) for death in the hospital. This study investigated the actual conditions and criteria for writing a DC and PEC, writing environment, and doctor's experience. MATERIAL AND METHODS: The physicians' DC and PEC writing experience and demographic data were analyzed. The questions focused on CPR, patient's medical certificate, time and place of death, difficulty in writing the PEC and DC, and education in certificate writing. RESULTS: 229 emergency physicians were included. Physicians' opinions differed for CPR patients in terms of time of death, location, and whether or not to issue DC/PEC. The causes of death were also different. Further, 76.9% of the doctors did not have enough time to write a medical certificate and about 45% of them wrote it within 30 min; 76% had DC-related complaints, and 7.0% faced legal problems due to the DC; 93.3% of the emergency physicians stated that a coroner system is needed in South Korea. CONCLUSION: Emergency physicians are responsible for writing DCs and PECs. The standards vary from physician to physician at the time of writing. Writing DCs and PECs is also burdensome. In South Korea, it is necessary to separate the DC and PEC, to develop national data management networks, and to introduce a postmortem examination system. SN - 1878-7487 UR - https://www.unboundmedicine.com/medline/citation/32452450/Study_on_death_certificates_and_postmortem_examination_certificates_written_by_Korean_emergency_physicians L2 - https://linkinghub.elsevier.com/retrieve/pii/S1752-928X(20)30067-6 DB - PRIME DP - Unbound Medicine ER -
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