Cut Costs at All Costs!

被引:7
|
作者
Flanagan, R. J. [1 ]
机构
[1] Kings Coll Hosp NHS Fdn Trust, Networked Serv, Dept Precis Med, Denmark Hill, London SE5 9RS, England
关键词
Forensic toxicology; Test ordering; Quality management; Interpretation of results; Clinical audit; FORENSIC-SCIENCE;
D O I
10.1016/j.forsciint.2018.06.038
中图分类号
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号
0301 ; 10 ;
摘要
The UK Government decision to close its Forensic Science Service (FSS) in 2010 left the criminal justice system in England and Wales bereft of impartial, high-level scientific support. The private sector was entrusted to fill the gap and to ensure that all results were accurate, timely, fit for purpose, easy to interpret, and above all gave value for money. In the event, however, a major provider has collapsed necessitating a rescue deal to minimise the impact of the fiasco. Moreover, there have been allegations of data manipulation in another private sector laboratory and possible falsification of evidence in a laboratory set up by a police force in an attempt to fill the gap left by the FSS. As to the future, appropriate laboratory regulation and inspection clearly has a part to play, but ironically 'quality management' adds an unnecessary and ever-increasing cost burden that may detract from quality. What is really needed are systems that combine public service and professional integrity with research and development. Involving investigators, coroners/medical examiners/judges, and prosecution and defence lawyers in educational fora would help build cross-professional co-operation and understanding. (c) 2018 Elsevier B.V. All rights reserved.
引用
收藏
页码:E26 / E28
页数:3
相关论文
共 50 条
  • [31] Ordering Patterns and Costs of Specialized Laboratory Testing by Hospitalists and House Staff in Hospitalized Patients With HIV at a County Hospital: An Opportunity for Diagnostic Stewardship
    Bolles, Kathryn
    Woc-Colburn, Laila
    Hamill, Richard J.
    Hemmige, Vagish
    OPEN FORUM INFECTIOUS DISEASES, 2019, 6 (06):
  • [32] FIRST-CONTACT CARE WITH A MEDICAL VS CHIROPRACTIC PROVIDER AFTER CONSULTATION WITH A SWISS TELEMEDICINE PROVIDER: COMPARISON OF OUTCOMES, PATIENT SATISFACTION, AND HEALTH CARE COSTS IN SPINAL, HIP, AND SHOULDER PAIN PATIENTS
    Houweling, Taco A. W.
    Braga, Andrea V.
    Hausheer, Thomas
    Vogelsang, Marco
    Peterson, Cynthia
    Humphreys, B. Kim
    JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2015, 38 (07) : 477 - 483
  • [34] Reproducibility of Artificial Cut on Heel Area of Rubber Outsole
    Liu, Luoxi
    Wu, Jian
    Luo, Yaping
    Lin, Sheng
    JOURNAL OF FORENSIC SCIENCES, 2020, 65 (01) : 229 - 237
  • [35] SEM and Stereomicroscopic Analysis of Cut Marks in Fresh and Burned Bone
    Kooi, Rebecca J.
    Fairgrieve, Scott I.
    JOURNAL OF FORENSIC SCIENCES, 2013, 58 (02) : 452 - 458
  • [36] A Quantitative Analysis of Torn and Cut Duct Tape Physical End Matching
    McCabe, Kaitlin R.
    Tulleners, Frederic A.
    Braun, Jerome V.
    Currie, Gillian
    Gorecho, Esmeraldo N., III
    JOURNAL OF FORENSIC SCIENCES, 2013, 58 : S34 - S42
  • [37] Challenges and future trends of forensic toxicology to keep a cut above the rest
    Boscolo-Berto, Rafael
    ADVANCES IN CLINICAL AND EXPERIMENTAL MEDICINE, 2024, 33 (05): : 423 - 425
  • [38] Aspects of postharvest management of selected field-grown cut flowers
    Balas, J
    Wirth, G
    Hettiarachchi, MP
    PROCEEDINGS OF THE VIIITH INTERNATIONAL SYMPOSIUM ON POSTHARVEST PHYSIOLOGY OF ORNAMENTAL PLANTS, 2005, (669): : 43 - 50
  • [39] A proposed method for differentiating knives from cut marks on bone: A forensic anthropological approach
    Ghui, Melodi
    Eliopoulos, Constantine
    Borrini, Matteo
    MEDICINE SCIENCE AND THE LAW, 2024, 64 (03) : 199 - 203
  • [40] Exploitation of the Ultraviolet Properties and Machine Cut Edges of Paper to Associate and Sequence Sheets in a Ream
    Musgrave, Nicola R.
    Thorne, Oliver T. S.
    JOURNAL OF FORENSIC SCIENCES, 2018, 63 (05) : 1450 - 1456