title: Quality of coroner's post-mortems in a UK hospital.
abstract: OBJECTIVE
  The aim of this paper was, principally, to look at the coroner's post-mortem report quality regarding adult medical patients admitted to an English hospital; and to compare results with Royal College of Pathologists guidelines.
  
  
  METHODS
  Hospital clinical notes of adult medical patients dying in 2011 and who were referred to the coroner's office to determine the cause of death were scrutinised. Their clinical care was also reviewed.
  
  
  RESULTS
  There needs to be a comprehensive approach to coroner's post-mortems such as routinely taking histological and microbiological specimens. Acute adult medical patient care needs to improve.
  
  
  CONCLUSIONS
  Steps should be taken to ensure that comprehensive coroner's post-mortems are performed throughout the UK, including with routine histological and microbiological specimens examination. Additionally, closer collaboration between clinicians and pathologists needs to occur to improve emergency adult medical patient clinical care.
  
  
  CONCLUSIONS
  The study highlights inadequacies in coroner's pathology services.
authors.forename: Husayn
authors.initials: H
authors.lastname: Al Mahdy
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001344:Autopsy / Q000592:standards*; D002423:Cause of Death; D054869:Clinical Audit; D015897:Comorbidity; D003644:Death Certificates; D048909:Diabetes Complications; D004239:Diverticulitis, Colonic / Q000150:complications / Q000473:pathology; D004739:England; D004935:Esophageal Diseases / Q000150:complications / Q000473:pathology; D005260:Female; D006470:Hemorrhage / Q000150:complications / Q000209:etiology; D006761:Hospitals / Q000592:standards*; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011014:Pneumonia; D011785:Quality Assurance, Health Care / Q000379:methods / Q000592:standards*