Etude de la qualité des certificats médicaux de décès dans un service d’accueil des urgences tunisien

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Publiée Dec 27, 2017
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Vol. 95 No 6 (2017): Revue juin 2017

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Mehdi Ben Khelil
Majed Kamel
Sana Lahmar
Ali Mrabet
Nabiha Borsali Falfoul
Moncef Hamdoun

Résumé

Objectif : Analyser la qualité de rédaction des certificats de décès délivrés dans le service d’accueil des urgences d’un Hôpital Universitaire de Tunis.
Méthode : Il s’agit d’une étude descriptive. Nous avons inclus tous les certificats délivrés au service d’accueil des urgences de l’Hôpital La Rabta de Tunis sur une période de 17 mois (entre octobre 2013 et mars 2014). Au total 21 erreurs ont été identifiées et ont été classées en « Erreurs de forme » et « Erreurs de fond », puis ont été divisé en erreurs majeurs et mineurs dans les deux groupes.
Résultats : 757 certificats ont été étudiés. Tous les certificats contenaient au moins trois erreurs avec un nombre moyen d’erreurs de 6,92±1,55 erreurs. La cause de la mort était « inacceptable » dans 21% des cas.
Conclusion : Les résultats de notre étude similaires aux données de la littérature mondiale. De ce fait, il ressort un besoin urgent de poursuivre régulièrement des formations pratiques en matière de rédaction de certificats de décès pour les étudiants et les médecins diplômés.

Mots-clés :

Certificat de décès, Qualité, Mortalité, Epidémiologie, Santé publique

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