Objective: Assess Death Certificates accuracy (DCs) issued by a teaching emergency department in Tunis.
Methods: It is a descriptive study. We included all death certificates issued in the Emergency Department of a teaching Hospital in Tunis over 17 months period (October 2013 - March 2014). Twenty-one errors have been predefined and classified as "Editing errors" or "Medical analysis error" then as major or minor errors.
Results: 757 certificates were studied; all DCs had at least three errors with an average number of errors of 6.92±1.55. The mechanism of death was inadequate in 20% of the DCs. The cause of death was "unacceptable" in 21% of the DCs.
Conclusion: The results are similar to those reported in international literature. Therefore, it is urgent to start working on further and regular training on how to fulfil a death certificate for undergraduate and postgraduate medical students.