Changes in the nature and outcome of notifications to HM Coroner from the Norfolk and Norwich University Hospital, UK, before and after the introduction of a medical examiner service: 2018 versus 2022.

IF 1.5 4区 医学 Q1 LAW Medicine, Science and the Law Pub Date : 2024-06-11 DOI:10.1177/00258024241260573
Jason Payne-James, Louise Parapanos, Tim Bosworth, Saverio Virdone, Jes Fry, Jacqueline Lake
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Abstract

A medical examiner (ME) system was introduced to England and Wales in 2019 intended to ensure appropriate notification of cases to HM Coroner (HMC). The aim of the study is to determine and compare: (a) the nature of notifications to HMC for Norfolk from the Norfolk and Norwich University Hospital (NNUH) in 2018 compared with 2022; (b) to determine the outcome of those notifications and (c) to establish patterns of change in the number and nature of such notifications. HMC and ME datasets were interrogated to determine differences between notifications to HMC and outcomes in 2018 compared with 2022. From deaths at NNUH (2018 - n  =  2605; 2022 - n  =  2969), there were significantly fewer HMC notifications in 2022 compared with 2018 (25.3% vs. 17.6%). A decrease in notifications was noted for persons undergoing any 'treatment or procedure of a medical or similar nature' (24.0% vs. 16.2%) p < 0.0014. An increase in notifications was noted for neglect, including self-neglect (3.3% vs. 12.2%) p < 0.001. Of the coronial outcomes, there were significant increases in the numbers of post-mortem (PM) examinations (29.3% vs. 35.5%) p  =  0.0276 and inquests (26.0% vs. 31.4%) p  =  0.0485). There was a significant decrease in no further action by HMC (5.7 vs. 2.3) p  =  0.0485. The study shows that the introduction of the medical examiner service has resulted in significant change in the nature of HMC notification categories. The notifications appear to be more appropriate, with an increased proportion of inquests and PM examinations and with a reduction in 100 A or 'no further action' outcomes.

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英国诺福克和诺威奇大学医院在引入法医服务前后向皇家验尸官发出通知的性质和结果的变化:2018 年与 2022 年。
英格兰和威尔士于 2019 年引入了法医(ME)系统,旨在确保向皇家死因裁判官(HMC)适当通报案件。本研究旨在确定并比较:(a) 与 2022 年相比,诺福克郡诺威治大学医院(NNUH)在 2018 年向 HMC 发出的通知的性质;(b) 确定这些通知的结果;(c) 确定此类通知的数量和性质的变化模式。对 HMC 和 ME 数据集进行了查询,以确定 2018 年与 2022 年向 HMC 发出的通知和结果之间的差异。从北卡罗来纳大学医院的死亡病例(2018 年 - n = 2605;2022 年 - n = 2969)来看,与 2018 年相比,2022 年的 HMC 通知数量明显减少(25.3% 对 17.6%)。接受任何 "医疗或类似性质的治疗或程序"(24.0% 对 16.2%)p p = 0.0276 和审讯(26.0% 对 31.4%)p = 0.0485 的人员通知数量有所减少。)医管局未采取进一步行动的比例大幅下降(5.7 对 2.3),p = 0.0485。研究结果表明,法医服务的引入使医管会通知类别的性质发生了重大变化。这些通知似乎更加适当,增加了死因调查和 PM 检查的比例,减少了 100 A 或 "无进一步行动 "的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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