| Abstrakt: |
Every six months, the Ministry of Justice publishes a summary of coroners' Rule 43 reports. There are many references to clinical medicine and this article describes the document content, its' relevance to clinical risk management and the implications for healthcare governance. This article discusses the history of Rule 43 and also its future. We discover that there are many valuable lessons learned from coroner inquests, that application of Rule 43 varies depending on jurisdiction, and that a recurring theme of similar problems runs through successive Ministry summaries. [ABSTRACT FROM AUTHOR] |
