1993-2018 ,u ,p vkj lh % iPphl o’kZ&vla[; vk’kk,a Nhrc : Twenty Five Years-billion Hopes 19.Whether symptoms, signs & diagnosis of disease and the treatment 8. 9. thereof were corroborating/matching? 20.In case of language barrier between doctor & patient, whether efforts were made to facilitate the communication ? When should inadequacy of patient care be suspected by investigator? 1. If there is no valid initial health screening report in record. 2. If there is any suspicious inding/complaint in initial health screening, which remain unattended 3. If the death is sudden or suspicious. 4. When there are allegations suggesting inadequate patient care 5. If the treatment record/chronology is de icient 6. If the patient is young adult/or apparently healthy upon entry in prison 7. If the stay in the prison is of short duration (within weeks or months) 8. If the clinical diagnosis of disease and the cause of death in autopsy are not matching 9. If regular check-up/observations are not on record 10.If patient suffering from chronic illness was on regular treatment and follow-up or not 11.If the prisoner was referred but not actually made to visit the higher centre. 12.If there was unjusti ied shuttling of the patient between prison and higher health centre. 13.If the prisoner was brought dead to higher centre. 14.If the prisoner was found dead in prison cell 15.If there are injuries mentioned in Autopsy report Which record should be observed while investigating cases for adequacy of patient care? 1. Primary health screening report of prisoner upon entry in prison to ascertain whether any illness was present at the time of entry to the prison or before. 2. Weekly/monthly health check-up record to ascertain regularity of health screening activities 3. History ticket to ascertain the previous health record and medical FORENSIC INVESTIGATION | 7