Systematic Review Keakuratan Underlying Cause of Death (UCOD) pada Sertifikat Kematian di Fasilitas Pelayanan Kesehatan

Achmad Jaelani Rusdi, Retno Dewi Prisusanti, R.A. Rengganis Ularan

Abstract


Abstract

Death certificates are an important source of mortality and statistical data, affecting the quality of service. Therefore, it must be as accurate as possible to reflect the quality of existing health services. This study aims to analyze the accuracy of death certificates in health care facilities using five years of research data from journals published in the 2017-2020 range. This study accumulates and integrates existing studies of 15 articles as a sample. The results showed that the number of accurate death certificates in health care facilities was 49.82%, while the inaccurate data on death certificates was 50.18%. Accuracy data include completeness, legibility, and accuracy in determining the Underlying Cause of Death (UCOD). This shows the low accuracy of data on the causes of patient death and affects mortality statistics in health care facilities. Therefore, training and assistance for codifying and determining UCOD on death certificates should be sought at every health care facility, and further research to improve the accuracy of UCOD on death certificates.

Keyword: Death Certificate, Healthcare Facilities, UCOD

 

Abstrak

Sertifikat kematian merupakan sumber data penting tentang kematian dan data statistik, hal ini berpengaruh dengan mutu pelayanan, Oleh karena itu harus seakurat mungkin sehingga mencerminkan mutu pelayanan kesehatan yang ada. Penelitian ini bertujuan untuk menganalisis keakuratan sertifikat kematian di fasilitas pelayanan kesehatan dengan menggunakan 5 tahun data penelitian dari jurnal yang dipublikasi dengan rentang tahun 2017-2020. Penelitian ini mengakumulasi dan mengintegrasikan studi yang telah ada terhadap 15 artikel sebagai sampel. Hasil penelitian menunjukkan bahwa jumlah sertifikat kematian di fasilitas pelayanan kesehatan yang akurat sebesar 49,82%, sedangkan data yang tidak akurat pada sertifikat kematian sebesar 50,18%. Data keakuratan meliputi kelengkapan, keterbacaan dan ketepatan dalam penentuan Underlying Cause of Death (UCOD). Hal ini menunjukkan rendahnya keakuratan data penyebab kematian pasien dan mempengaruhi statistik kematian di fasilitas pelayanan kesehatan. Pelatihan dan pendampingan kodifikasi dalam penentuan UCOD pada sertifikat kematian harus diupayakan pada setiap fasilitas pelayanan kesehatan serta penelitian selanjutnya guna meningkatkan keakuratan UCOD pada sertifikat kematian.

Kata Kunci: Sertifikat Kematian, Fasilitas Pelayanan Kesehatan, UCOD

 


Keywords


sertifikat kematian; fasilitas pelayanan kesehatan, UCOD

Full Text:

PDF

References


WHO. International Statistical Classification of Diseases and Related Health Problem (ICD-10, Volume 2). 2010.

Lu T-H, Lee M-C, Chou M-C. Accuracy of cause-of-death coding in Taiwan: types of miscoding and effects on mortality statistics. Int J Epidemiol [Internet]. 2000 Apr;29(2):336–43. Available from: https://academic.oup.com/ije/article-lookup/doi/10.1093/ije/29.2.336

Ilmi LR, Purbobinuko Z. Penentu Penyebab Kematian di RSUD Panembahan Senopati Bantul : Miscoding Berdampak pada Laporan Statistik Kematian. J Manaj Inf Kesehat Indones [Internet]. 2020 Mar 16;8(1):86. Available from: https://jmiki.aptirmik.or.id/index.php/jmiki/article/view/79

Kraus S, Breier M, Dasí-Rodríguez S. The Art of Crafting a Systematic Literature Review in Entrepreneurship Research. Int Entrep Manag J [Internet]. 2020 Sep 1;16(3):1023–42. Available from: http://link.springer.com/10.1007/s11365-020-00635-4

McGivern L, Shulman L, Carney JK, Shapiro S, Bundock E. Death Certification Errors and the Effect on Mortality Statistics. Public Health Rep [Internet]. 2017 Nov 1;132(6):669–75. Available from: http://journals.sagepub.com/doi/10.1177/0033354917736514

Widyaningrum L, Kuntari T. Keakuratan Penentuan Kode Underlying Cause of Death Berdasarkan Medical Mortality Data System di RSUD Kota Salatiga Tahun 2016. J Ris Kesehat [Internet]. 2017 Dec 8;6(1):45. Available from: http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jrk/article/view/2832

Washirasaksiri C, Raksasagulwong P, Chouriyagune C, Phisalprapa P, Srivanichakorn W. Accuracy and The Factors Influencing The Accuracy of Death Certificates Completed by First-Year General Practitioners in Thailand. BMC Health Serv Res [Internet]. 2018 Dec 20;18(1):478. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3289-1

Ben Khelil M, Kamel M, Lahmar S, Mrabet A, Borsali Falfoul N, Hamdoun M. Death certificate accuracy in a Tunisian Emergency Department. Tunis Med [Internet]. 2017 Jun;95(6):422–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29512798

Nafilah S, Surya Putra I, Suciningtyas M. Kelengkapan dan Keakuratan Pengisian Data Surat Keterangan Penyebab Kematian Klinis di RS PKU Muhammadiyah Yogyakarta Tahun 2015-2017 [Internet]. Available from: http://etd.repository.ugm.ac.id/penelitian/detail/163473

Puspa Dewi D, Surya Putra I, Suciningtyas M. Kelengkapan dan Keakuratan Pengisian Data Surat Keterangan Penyebab Kematian Klinis Di Rsud Sleman Tahun 2014-2016. 2018.

Wahyuni T, Rachmadhani D. Kelengkapan Pendokumentasian Sertifikat Medis Penyebab Kematian Dan Akurasi Penyebab Dasar Kematian. J Manaj Inf Kesehat Indones. 2018;6(1):41.

Rahmawati NE, Lestari S. Tinjauan Keakuratan Kode Sebab Dasar Kematian pada Sertifikat Kematian di RSUP Dr. Soeradji Tirtonegoro Klaten. J Chem Inf Model. 2018;8(9):86–97.

Supriyadi A, Wagiran. Tinjauan Ketepatan Kode Diagnosis Utama Penyebab Dasar Kematian Berdasarkan ICD-10. JUPERMIK (Jurnal Perekam Medis dan Inf Kesehatan). 2018;1(1).

Rina A, Elsari. Analisis Ketepatan Kode Diagnosis Penyebab Utama Kematian Pada Pasien Perdarahan Intrakranial di RSUD Dr. M. Yunus Bengkulu. J Manaj Inf Kesehat (Health Inf Manag. 2019;4(1):15–28.

Hasanpour-Heidari S, Jafari-Delouei N, Shokoohifar N, Sedaghat SM, Moghaddami A, Hosseinpour R, et al. Completeness and Accuracy of Death Registry Data in Golestan, Iran. Arch Iran Med [Internet]. 2019;22(1):1–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30821154

Schuppener LM, Olson K, Brooks EG. Death Certification: Errors and Interventions. Clin Med Res [Internet]. 2020 Mar;18(1):21–6. Available from: http://www.clinmedres.org/lookup/doi/10.3121/cmr.2019.1496

Mardiawati D, Akika TF. Identifikasi Keakuratan Kode Underlyimg Cause of Death (UCOD) Kasus Stroke Berdasarkan ICD-10 di Rumah Sakit Tk.III dr. Reksowidiwiryo Padang. Adm Heal Inf J [Internet]. 2020;1(1):10–8. Available from: http://ojs.stikeslandbouw.ac.id/index.php/ahi/article/download/2/11

Sari N, Rokhmah D, Ma’rufi I. Ketidaktepatan Kode Sebab Dasar Kematian menjadi Penyebab Kerugian 600 Juta Dana di Unit ICCU RSUD dr Moh Saleh Probolinggo. Multidiscip J [Internet]. 2020 Jul 7;3(1):19. Available from: https://jurnal.unej.ac.id/index.php/multijournal/article/view/23683

World Health Organization. International statistical classification of diseases and related health problems. World Health Organization; 2011.

Brooks EG, Reed KD. Principles and pitfalls: A guide to death certification. Vol. 13, Clinical Medicine and Research. Marshfield Clinic; 2015. p. 74–82.

Falci L, Lee Argov EJ, Van Wye G, Plitt M, Soto A, Huynh M. Examination of Cause-of-Death Data Quality Among New York City Deaths Due to Cancer, Pneumonia, or Diabetes From 2010 to 2014. Am J Epidemiol [Internet]. 2018 Jan 1;187(1):144–52. Available from: https://academic.oup.com/aje/article/187/1/144/3863123

Hazard RH, Alam N, Chowdhury HR, Adair T, Alam S, Streatfield PK, et al. Comparing tariff and medical assistant assigned causes of death from verbal autopsy interviews in Matlab, Bangladesh: implications for a health and demographic surveillance system. Popul Health Metr [Internet]. 2018 Dec 27;16(1):10. Available from: https://pophealthmetrics.biomedcentral.com/articles/10.1186/s12963-018-0169-1

Sulistiyowati N, Irianto J, Usman Y. Akurasi Sistem Registrasi Kematian dan Penyebab Kematian (Studi Tipikal Sejumlah Daerah di Indonesia) Masih Perlu Banyak Peningkatan: Sistem Registrasi Kematian dan Penyebab Kematian di Beberapa Daerah, Indonesia 2014. Media Penelit dan Pengemb Kesehat. 2017;26(4):191–200.




DOI: https://doi.org/10.47007/inohim.v10i1.414

Refbacks

  • There are currently no refbacks.


Lembaga Penerbitan Universitas Esa Unggul

Jl Arjuna Utara No 9. Tol Tomang, Kebon Jeruk, Jakarta. 11510

Email : inohim.ueu@esaunggul.ac.id

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

View My Stats