15 What are the good practices for doctors by which suspicion of inadequacy of patient care during investigations could be reduced? 1. By maintaining the clinical record in proper chronology and reproduction of the complete clinical record during investigation 2. By making notes of whatever clinical examination was done especially lifesaving treatment like provision of oxygen, CardioPulmonary Resuscitation, medication or any procedure 3. By making notes of detailed clinical condition of the patient during referral to higher centre. 4. By putting an explanation/remark, whenever a patient is advised to refer to a specialist but not actually consulted 5. By not putting casual entries in notes mentioning injuries over the patient 6. By not missing the subsequent steps taken by the doctor once a clear history of present illness/medication is on record in health screening proforma 7. By not involving incompetent health care staff in the patient care 8. By keeping the record of routine heath check-ups (including routine history taking and physical examination) conducted in prisons 9. By not missing routine follow-up of patients suffering from chronic known illness 10.By taking high risk consent or poor prognosis communication in appropriate cases 11. By recording the refusal (if there is so) for treatment/noncompliance/non-cooperation 12.By taking the help of a translator especially in central jails where the prisoner's linguistic background is different from that of treating doctor and making a note of it when such situation arises. 13. By keeping yourself (doctors) updated with the accepted professional guidelines 16. What are the conditions related to autopsy because of which suspicion of inadequacy of patient care or conduction of hasty post-mortem may arise? 1. In many cases the post-mortem diagnosis of tuberculosis is made merely based on non-signi icant gross post-mortem indings in lungs which may create an erroneous impression among investigators that UNDERSTANDING THE HEALTH CARE IN CUSTODY | 12