Signals missed as errors piled up

Lack of oversight, shortage of pathologists contributed to `miscarriages of justice'

Lack of oversight‽

Police ordered to release secret papers

Kingston force feared embarrassing officers


Lawsuit dropped against police


Pathologists directed to 'think dirty'
January 17, 2008

KGH autopsy on child rife with errors: inquiry

Common Standard of Practice (Care) ‽

Autopsy team mistakenly destroyed brain
LINK EXPIRED SEE
DR. CHARLES SMITH INQUIRY
PAGE 80 ARTICLE 238

And thenA previous example that met CPSO standards?



Charles Smith Inquiry
Let’s not lose sight of the real issue


Cairns comes under fire at Smith inquiry
Nov 27, 2007

Smith 'sorry' for autopsy errors

"The doctor at the heart of an inquiry into pediatric forensic pathology in Ontario has apologized for the 'mistakes' he's made in his work."

Disgraced pathologist 'sorry' for multiple mistakes

Was the quality of his work consistent with the standard of care/practice expected of professionals, in this field of practice, by the College of Physicians and Surgeons of Ontario (CPSO)?

A previous example of a standard expected by the CPSO?

“If we do not
hear,
see,
or speak evil,
we ourselves
shall be spared all evil‽"

SYSTEMIC FAILINGS‽

Former chief coroner says he's sorry
for miscarriages of justice involving Dr. Charles Smith
Dec 3, 2007

Next mea culpa?

Bereaved 'will agree to donate'

"Despite the organ retention scandals of the last decade, bereaved relatives are willing to donate tissue, a pioneering Scottish research centre has found."

Contrast to Ontario

Doctor Scorecard

"DoctorScorecard encourages doctors
to introduce their service to potential patients.
Making a basic profile takes only about 10 minutes and it's free."

Patient support safety service (Ontario)

With this service all Ontarians can sleep soundly!?‽

Man on mission to overhaul healthcare system

After the sudden death of his wife in March 2003, Edward Mendoza has made it his life’s work to heal what he describes as the shoddy Canadian medical system and those at its mercy.

Bug hospital chief pay withheld

Kent police have launched an investigation into whether the trust should be prosecuted for the deaths.

Encouraging?

The dirty truth on the wards

An Observer investigation has revealed how elderly patients
are often left in squalor by overworked staff, reports Jo Revill.

Acquittals in blood scandal

"the ruling an 'absolute vindication' and a 'complete exoneration"


Confirmation that the high value Canadians place,
and expect,
on our Justice System is justified


Yes, Virginia, there is noSanta Claus!

A Canadian judge has acquitted
four doctors and a US drug company
of criminal negligence
in a long-running tainted-blood scandal.

Nuisance charges dropped in tainted blood case