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Publication - Research and analysis

Death Certification Test Site Evaluation

Published
29 April 2013
ISBN
9781782565307

An evaluation of the implementation of a new death certification process in two test site areas (Dumfires & Galloway and Dundee) following the introduction of the Certification of Death (Scotland) Act 2011.

View supporting documents Supporting documents

APPENDIX 2: Quality Scorecard Ratings

The tables below contain data related to the old style of quality scorecard ratings and the new style. The source for all data is the NHS ISD Death Certification Test Site Database

Old Style Quality Scorecard Ratings

Table A2.1: Quality scorecard (old style): cause of death

Score Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
1 = significant quality issues 1 1 - 4 1 1 8
2 - - - 7 - - 7
3 3 - - 9 - - 12
4 15 1 - 23 3 - 42
5 = no issues 225 29 1 138 14 - 407
Not available* 3 - - - - - 3
Total 247 31 1 181 18 1 479

* Note: There were three cases where the Scorecard was not completed. All of these cases had been referred to and taken up by the Procurator Fiscal.

Table A2.2: Quality scorecard (old style): referrals to Procurator Fiscal

Score Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
1 = significant quality issues 2 - - - - - 2
2 - - - - - - 0
3 - - - 1 - - 1
4 2 1 - 1 - - 4
5 = no issues 241 30 1 179 18 1 470
Not available* 2 - - - - - 2
Total 247 31 1 181 18 1 479

* There were two cases where the Scorecard was not completed. Both of these cases had been referred to and taken up by the Procurator Fiscal.

Table A2.3: Quality scorecard (old style): other information

Score Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
1 = significant quality issues 1 1 - 1 - - 3
2 2 - - 2 - - 4
3 4 - - 12 - - 16
4 39 7 - 24 1 - 71
5 = no issues 198 23 1 142 17 1 382
Not available* 3 - - - - - 3
Total 247 31 1 181 18 1 479

* Note: There were three cases where the Scorecard was not completed. All of these cases had been referred to and taken up by the Procurator Fiscal.

New Style Quality Scorecard Ratings

Table A2.4: Quality scorecard ratings (new style): personal data on deceased

Category Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
Incorrect/missing 26 2 - 20 5 - 53
Trivial error 9 4 1 27 - 2 43
Correct 336 63 7 277 42 1 726
Total 371 69 8 324 47 3 822

Table A2.5: Quality scorecard ratings (new style): diseases or conditions relating directly to death

Category Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
Incorrect 6 - - 13 - 1 20
Questionable/imprecise 31 7 3 47 9 - 97
Correct 334 62 5 264 38 2 705
Total 371 69 8 324 47 3 822

Table A2.6: Quality scorecard ratings (new style): other significant conditions contributing to death

Category Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
Incorrect 3 1 - 9 1 - 14
Questionable/illogical 10 3 - 42 6 1 62
Correct 358 65 8 273 40 2 746
Total 371 69 8 324 47 3 822

Table A2.7: Quality scorecard ratings (new style): tick boxes on MCCD

Category Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
Not used - - - - - - -
Incomplete 1 - - - - 1 2
Complete 370 69 8 324 47 2 820
Total 371 69 8 324 47 3 822

Table A2.8: Quality scorecard ratings (new style): Procurator Fiscal referral

Category Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
Missed referral - 1 1 9 - 1 12
Debatable 8 - - 1 1 - 10
Non-referral appropriate 363 68 7 314 46 2 800
Total 371 69 8 324 47 3 822

Table A2.9: Quality scorecard ratings (new style): certifying doctor or consultant responsible information

Category Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
Incorrect/missing 35 9 1 53 4 2 104
Trivial error 19 4 - 26 1 - 50
Correct/complete 317 56 7 245 42 1 668
Total 371 69 8 324 47 3 822

Table A2.10: Quality scorecard ratings (new style): overall legibility

Category Dumfries & Galloway Dundee Total
Level 1 Level 2 Upgraded
from Level 1
to Level 2 		Level 1 Level 2 Upgraded
from Level 1
to Level 2
Very difficult to read 1 - - 2 - - 3
Some difficulty to read 16 3 - 36 3 - 58
Easy to read 354 66 8 286 44 3 761
Total 371 69 8 324 47 3 822

Contact

Email: Victoria Milne

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