目的评价北京市东城区院内死亡病例死因栏填写准确性,旨在提高死因数据的准确性。方法通过查阅2014年1月-7月256例院内死亡病例的住院病案,核对死亡医学证明书死因栏的准确性。结果256例死亡病例死因栏病案的复核符合率为87.5%;三级医院符合率低于二级医院(χ~2=10.666,P=0.001);中医医院符合率低于综合医院(χ~2=3.992,P=0.046);50.0%的根本死因不准确病例通过查阅病案可以确定明确的死因及根本死因。结论东城区院内死亡病例死因报告的准确性较高,加强临床医师死因栏填写知识的培训、建立死亡病例的信息化管理可有效提高死因填报的准确性。 Objective To evaluate the accuracy of filling in the cause of death column in Dongcheng District of Beijing with the purpose of improving the accuracy of the data of cause of death. Methods The inpatient medical records of 256 inpatient deaths from January 2014 to July 2014 were examined to check the accuracy of the cause of death in the death medical certificate. Results The coincidence rate was 87.5%. The coincidence rate of tertiary hospitals was lower than that of secondary hospitals (χ ~ 2 = 10.666, P = 0.001). The coincidence rate of TCM hospitals was lower than that of general hospitals = 3.992, P = 0.046). Incomplete cases of 50.0% of the underlying causes of death were identified by reviewing the medical records to determine the exact cause of death and the underlying cause of death. Conclusion The death rate of in-hospital deaths in Dongcheng District is higher than that of the previous one. The training of clinicians in filling in the cause of death column is strengthened. Establishing the information management of death cases can effectively improve the accuracy of the cause of death.