Challenges to implementation of the new Coroners' (Amendment) Rules 2005: experience from a tertiary paediatric pathology centre
Challenges to implementation of the new Coroners' (Amendment) Rules 2005: experience from a tertiary paediatric pathology centre
复制标题
实施 2005 年新验尸官（修正案）规则面临的挑战：三级儿科病理中心的经验
DOI：
10.1258/rsmmsl.47.4.293
复制
发表时间：
2007
期刊：
影响因子：
--
通讯作者：
N. Sebire
中科院分区：
文献类型：
--
作者：
M. Weber;J. Epstein;J. Simons;M. Malone;M. Ashworth;N. Sebire
在英国，儿童突然意外死亡被提交给女王陛下验尸官(HMC)进行尸检，在验尸期间获取小组织样本用于诊断。最近规范组织使用的变化包括2005年验尸官(修订)规则。我们在儿科专科中心审计了这些措施的影响。2005年6月1日至2006年5月31日期间，就提供给父母和由父母选择的选择，对HMC尸检组织形式进行了回顾审查。在213例尸检中，178例是非法医验尸。尸检前提交组织表格的有25例(14%)。另有47人在发出后续信函后收到，总数为72/178(40%)。不同验尸官的表格各不相同，但大多数未能区分块、载玻片和其他组织样本，6/40(15%)的表格没有明确允许选择研究同意。43名家长(60%)选择留校，34名家长(79%)也同意进行研究。只有6人(8%)要求退还纸巾。一份适用于所有HMC学区的简单、统一的组织处理表格和信息表，其中包括适当的选项，将确保满足家长的意愿，实现最佳实践，最大限度地提供样本，以产生积极的社会成果，如教学和研究，并遵守新的法规。
In the UK sudden unexpected childhood deaths are referred to Her Majesty's Coroner (HMC) for postmortem examination during which small tissue samples are obtained for diagnostic purposes. Recent changes to regulate tissue use include the Coroners' (Amendment) Rules 2005. We audited the impact of these at a specialist paediatric centre. A retrospective audit of HMC tissue forms for autopsies was performed between 1 June 2005 - 31 May 2006, with regard to the options provided to, and chosen by, parents. Of 213 coronial autopsies, 178 were non-forensic. Tissue forms were submitted pre-autopsy in 25 (14%). An additional 47 were received after sending follow-up letters for a total of 72/178 (40%). Forms varied between coroners, but most failed to distinguish between blocks, slides, and other tissue samples and 6/40 (15%) forms did not specifically allow an option for research consent. Forty-three (60%) parents opted for retention, with 34 (79%) also consenting to research. Only six (8%) requested return of tissue. A simple, unified tissue disposal form and information sheet for all HMC districts, which includes appropriate options, would ensure that parents' wishes are met, to achieve best practice, maximise sample availability for positive societal outcomes such as teaching and research, and to comply with new regulations.