Literature DB >> 8490498

Clinicians and the coronial system: ability of clinicians to recognise reportable deaths.

R D Start1, Y Delargy-Aziz, C P Dorries, P B Silcocks, D W Cotton.   

Abstract

OBJECTIVE: To assess the ability of clinicians to recognise deaths which require referral to the coroner.
DESIGN: Postal questionnaire consisting of 16 fictitious case histories, 14 of which contained a clear indication for referral to the coroner.
SETTING: Large teaching hospital. Coroner's office.
SUBJECTS: 200 clinicians from general medical and surgical firms and senior staff of the local coroner's office (two coroner's officers and the two deputy coroners). MAIN OUTCOME MEASURES: Number of correct assessments on questionnaire.
RESULTS: The mean recognition score for the clinicians was 9.11 (range 3-14) with no difference between the clinical grades. All of the coroner's senior staff recorded maximum recognition scores of 16.
CONCLUSIONS: The study highlights several features of the coronial system which are poorly understood by clinicians and provides the basis for an initiative to improve the medicolegal education of all clinicians.

Mesh:

Year:  1993        PMID: 8490498      PMCID: PMC1677018          DOI: 10.1136/bmj.306.6884.1038

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  1 in total

1.  Factors which influence necropsy requests: a psychological approach.

Authors:  R D Start; M J Hector-Taylor; D W Cotton; M Startup; M A Parsons; A Kennedy
Journal:  J Clin Pathol       Date:  1992-03       Impact factor: 3.411

  1 in total
  13 in total

1.  When should a coroner's inquest be held? The Manchester guidelines for pathologists.

Authors:  I S Roberts; L M Gorodkin; E W Benbow
Journal:  J Clin Pathol       Date:  2000-05       Impact factor: 3.411

Review 2.  Acp. Best practice no 155. Pathological investigation of deaths following surgery, anaesthesia, and medical procedures.

Authors:  R D Start; S S Cross
Journal:  J Clin Pathol       Date:  1999-09       Impact factor: 3.411

3.  All-cause mortality after non-fatal self-poisoning: a cohort study.

Authors:  Eleni Karasouli; David Owens; Rachel L Abbott; Keith M Hurst; Michael Dennis
Journal:  Soc Psychiatry Psychiatr Epidemiol       Date:  2010-03-25       Impact factor: 4.328

4.  Asking relatives for permission for a post mortem examination.

Authors:  S J Sherwood; R D Start
Journal:  Postgrad Med J       Date:  1995-05       Impact factor: 2.401

5.  Funeral directors, mortuaries and necropsies: implications for necropsy consent rates and the prevention of infection.

Authors:  R D Start; A Dube; S S Cross; J C Underwood
Journal:  J Clin Pathol       Date:  1996-03       Impact factor: 3.411

6.  Analysis of necropsy request behaviour of clinicians.

Authors:  R D Start; S G Brain; T A McCulloch; C A Angel
Journal:  J Clin Pathol       Date:  1996-01       Impact factor: 3.411

7.  General practitioner's knowledge of when to refer deaths to a coroner.

Authors:  R D Start; T P Usherwood; N Carter; C P Dorries
Journal:  Br J Gen Pract       Date:  1995-04       Impact factor: 5.386

8.  Reporting deaths to coroners.

Authors:  S Leadbeatter; B Knight
Journal:  BMJ       Date:  1993-04-17

9.  Reporting deaths to the coroner. Doctors abuse the coronial system.

Authors:  J P O'Sullivan
Journal:  BMJ       Date:  1993-06-05

10.  What is a natural cause of death? A survey of how coroners in England and Wales approach borderline cases.

Authors:  I S Roberts; L M Gorodkin; E W Benbow
Journal:  J Clin Pathol       Date:  2000-05       Impact factor: 3.411

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