Análise do preenchimento das declarações de óbito pelos médicos residentes de um hospital universitário de Alagoas

Abstract

The current scenario of deficiency in the process of completing the Death Declaration negatively influences the quality of information on mortality in Brazil. The data obtained through the Death Certificate are fundamental for generating mortality statistics, essential for analyzing the health situation, surveillance, monitoring and evaluation of public policies. The motivation for this study came from my experience at the Hospital Epidemiology Center (NHE) of the Hospital under analysis, when we observed many incompleteness, flaws, erasures and errors in the insertion of data when filling out the fields in the Death Certificates. Given this, the question arose about the difficulties in filling out death certificates by resident doctors at the University Hospital under study as a justification for the work. In this context, the research aimed to analyze the completion of death certificates by resident doctors at a University Hospital from January 2020 to January 2022. From a methodological point of view, this is a qualitative-quantitative study. , transversal and retrospective in Death Certificates. Firstly, an instrument, Checklist, was created using Google Forms to evaluate the completion of Death Certificates. The research was carried out in two stages, the first part through the analysis of 1205 Death Certificates, where 254 were completed by resident doctors in the period mentioned and the second stage through the participation of 63 resident doctors in filling out a questionnaire using Google Forms . The results obtained regarding filling out the DC in the period from January 2020 to January 2022 showed that in most cases resident doctors fill out the DC incorrectly due to lack of knowledge regarding the correct form, highlighting that they had very limited knowledge about filling it out. of the Death Declaration. Regarding the questionnaire answered by resident doctors, it was observed that the majority of them revealed the need to learn more about the correct completion of the DC. The results enabled the development of 3 articles within the topic in question, one of which has already been published and 2 educational products, which stand out for their ease of access and wide dissemination of the topics. Product 1: Checklist (graphotechnical expertise) to evaluate the completion of the death certificate (DO). Product 2: The construction of a VIDEO – Completing the Death Declaration with the aim of simplifying the completion of the DO, clarifying any doubts regarding completion. At the same time, the workshop proposal was created to welcome resident doctors entering annually into the various Medical Residency Programs (PRM) at the Prof. University Hospital. Alberto Antunes (HUPAA), in order to provide guidance on the correct and complete completion of the DO. The value of the study and the anticipated scientific impact based on the research results reside in the opportunity to contribute to the teaching-learning process of HUPAA resident doctors, seeking to improve the quality of filling out the DC.