Medico Legal System

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Finally, our results highlight that the total number of dataset users contains little information about the biases of their data source. Therefore, another approach to assessing the quality of forensic records may be the use of systematic criteria-based or program-based assessment. This includes assessing whether the dataset or certain elements are compatible with another source, whether the expected data elements are present, and whether the summary statistics in the database correspond to the expected distribution for a particular clinical design [87]. McGowan CR, Come AM. Reforming the Coroner`s System: A Potential Public Health Failure. □ Public Health. 2010;32(3):427–30. This information includes socio-demographic characteristics, medical history, circumstances immediately preceding death, results of forensic and scientific tests, and results of legal proceedings. The wealth of this population-based data makes medically forensics death investigation material a valuable source of data for preventive medicine [5]. Creation of a National Forensic Death Investigation Office Draft initial recommendation for the formation of a National Forensic Death Investigation Office (presented at NCFS Meeting #10 – 20-21. June 2016)Decision Summary on the Recommendation to Establish a National Forensic Death Investigation OfficeFinal Draft Recommendation on the Formation of a National Forensic Death Investigation OfficeRecommendation to Establish a National Office of Forensic Investigation into Deaths (adopted at NCFS Meeting #11 – September 13, 2016) Population-based health information systems, such as cancer registries, have been used for decades [85] and are becoming increasingly common [76, 77].

To ensure that the results of studies based on information from forensic databases are translated in a useful and reliable manner, policymakers should be aware of their strengths and limitations, such as the potential underestimation of suicides. It is important to note that datasets such as NCIS were not designed exclusively for academic research or for specific research questions [76]. Therefore, the variability in the content and details of the information it contains is a function of the variability within and between coroners and corona jurisdictions. Reliability has been described as a strength of NCIS and has been demonstrated by its consistency with other data sources such as workers` compensation claims [39] and official national statistics [36]. In addition, studies have found that strict coding systems and internal quality assessments by NCIS [40] ensure that the information stored reliably matches that of deaths that could be reported to coroners [41]. and still others through a hybrid system known as a referral system, in which a coroner refers cases to a coroner for autopsy (Hanzlick & Combs, 1998). About half of the U.S. population is served by coroners and the other half by coroners. Regardless of who runs the system, most death investigations are conducted at the county level. Approximately 2185 death investigation courts are located in the 3137 counties of the country.

Stahel PF, Moore EE. Peer Review for Biomedical Publications: We can improve the system. BMC Med. 2014;12(1):179. Members of the Forensic Death Investigation Subcommittee The quality of a death detection system is difficult to assess, but it can be measured using several indicators. One of them is accreditation by NAME, the professional organization of forensic pathologists. Only 42 of the country`s coroners, serving 23% of the population, have been accredited by NAME in recent years. Most of the population (77%) is served by offices without accreditation. Another indicator of quality is the legal requirement for education: approximately 36% of the U.S. population lives where death investigators have received little or no special training (Hanzlick, 1996).

In Georgia, for example, typical requirements to serve as coroner are a registered voter who is at least 25 years old, has no criminal convictions, and studies have reported that information in NCIS may be inaccurate due to coding errors [61-63]. Although NCIS was found to have a data quality program to verify and correct information, this cannot be applied to all files [64]. In addition, discrepancies between the NCIS and ICD-10 classification systems would have resulted in a different number of recovered cases, depending on the code set used [27, 29]. Nevertheless, concerns remain about the possible shortcomings of this dataset format and its impact on research results [22]. While electronic access reduces the cost and time required for case identification and data collection, discussion of methodological limitations and strengths of this data for public health research remains rudimentary.