[The coroner's autopsies in the Great Britain: the problems related to the quality of the studies, standardization, auditing, financial support and the approaches to their solution]
- PMID: 28656956
- DOI: 10.17116/sudmed201760357-63
[The coroner's autopsies in the Great Britain: the problems related to the quality of the studies, standardization, auditing, financial support and the approaches to their solution]
Abstract
The objective of the present study was to analyze the experience of the coroners and pathologists in the Great Britain based on the results of the coroner's autopsies and recommendations of the experts involved in the activities carried out in the framework of the National Confidential Enquiry into Patient Outcome and Death program (NCEPOD). The recommendations are designed to reform the country's medical examiner system, improve the equipment of the mortuary facilities, and optimize funding for the autopsy studies. The authors consider in the chronological order the following issues of the coroners and pathologists' activities: organization of their work and its procedural aspects, ordering coroner's autopsies, preparation for their performance, analysis of the relevant documentation (autopsy reports) and medical case histories (discharge summaries). Also discussed are the recommendations of the NCEPOD experts for the improvement of the said studies with the detailed analysis of the causes underlying the aforementioned problems and concise comments of the authors.
Цель исследования - изучить результаты работы коронеров и патологов Великобритании по анализу качества выполнения коронерских вскрытий на основе оценок и рекомендаций экспертов Национального конфиденциального расследования исходов лечения и смерти пациентов (NCEPOD), направленных на реформирование коронерской системы страны, оснащение моргов и оптимальное финансирование проводимых в них секционных исследований. В статье в хронологической последовательности представлена организация работы врачей-патологов и рассмотрены отдельные процессуальные нюансы организации и назначения коронерских вскрытий, подготовки к их проведению, анализ сопроводительной документации, историй болезни (��пикризов), а также проанализированы предложения экспертов NCEPOD, направленные на совершенствование этих исследований, с детальным разбором причин по указанным проблемам и краткими комментариями авторов.
Keywords: NCEPOD; The Royal College of Pathologists (RCPath); coroners act (1988); coroners rules (1984); coroner’s autopsies.
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