FAILING TO IDENTIFY AND RESPOND TO THE DETERIORATING PATIENT: A CASE FOR THE CORONER

Area of Science:

• Forensic Pathology
• Legal Medicine
• Public Health

Background:

• The Coroners Court plays a vital role in the legal system.
• It addresses deaths that are sudden, unexpected, or unexplained.

Purpose of the Study:

• To elucidate the function of the Coroners Court.
• To highlight the investigative powers of the Coroner.

Main Methods:

• Review of the coronial process.
• Analysis of investigative powers.

Main Results:

• The court determines the manner and cause of death.
• Coroners issue findings and recommendations.

Conclusions:

• The coronial process is crucial for understanding and preventing deaths.
• Coroners' recommendations contribute to public safety.