Department of Forensic Medicine & Toxicology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India.
Department of Forensic Medicine & Toxicology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India.
J Forensic Leg Med. 2020 Aug;74:102007. doi: 10.1016/j.jflm.2020.102007. Epub 2020 Jul 2.
Incomplete and inaccurate medico-legal report (MLR) often slow down the court trials and lead to incorrect judgments. Identification of such mistakes and shortcomings in the report can help in preventing litigations against doctors, unbiased court judgments, and injustice. Clinical Forensic Medicine Unit (CFMU) deals with all medico-legal cases (MLC) brought to the institution. It prepares MLR's, collect evidence, and supervises medicolegal issues of the institute.
MATERIAL & METHOD: Pre-CFMU included 50 poisoning and 50 non-poisoning reports, selected randomly among 504 cases. Post-CFMU also included 50 poisoning and 50 non-poisoning reports, which were chosen randomly among total 588 cases.
Comparing the pre and post CFMU non-poisoning reports, the following parameters were statistically significant; date and time of examination, address of the patient, details of accompanied police, details of attendant, identification marks, history of incidence, consent, description, dimension, location and age of injuries, pictorial presentation, general condition of the patient on arrival, and final opinion. Comparing the pre and post CFMU poisoning reports, statistically significant results were obtained for the following parameters; address of the patient, identification marks, history of incidence, consent, general condition of the patient on arrival, details of evidence collected, preservative used, seal status, and final opinion.
The present study concludes that the errors were significantly reduced in medico-legal reports prepared by forensic experts. It is, therefore, necessary to employ forensic experts at every healthcare facility not only to prevent lawsuits but also to strengthen the judiciary. Additionally, we recommend regular training of non-forensic professionals to acquaint them with medico-legal work.
不完整和不准确的法医报告（MLR）常常会拖慢法庭审判进程，并导致错误的判决。识别报告中的这些错误和缺陷有助于防止针对医生的诉讼、公正的法庭判决和不公正的裁决。临床法医科（CFMU）负责处理提交给该机构的所有法医案件（MLC）。它编写 MLR、收集证据，并监督机构的法医问题。
CFMU 之前包括 50 份中毒和 50 份非中毒报告，从 504 例中随机选择。CFMU 之后也包括 50 份中毒和 50 份非中毒报告，从总共 588 例中随机选择。
比较 CFMU 之前和之后的非中毒报告，以下参数具有统计学意义：检查的日期和时间、患者的地址、陪同警察的详细信息、陪同人员的详细信息、识别标记、发病史、同意书、描述、尺寸、损伤的位置和年龄、图像呈现、患者到达时的一般情况和最终意见。比较 CFMU 之前和之后的中毒报告，以下参数具有统计学意义：患者的地址、识别标记、发病史、同意书、患者到达时的一般情况、收集证据的详细信息、防腐剂的使用、密封状态和最终意见。
本研究得出结论，法医专家准备的法医报告中的错误明显减少。因此，不仅需要在每个医疗保健机构雇用法医专家，以防止诉讼，还要加强司法。此外，我们建议对非法医专业人员进行定期培训，使他们熟悉法医工作。
