Identity theft case creates new HIPPA concerns for hospitals.
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Diversion of narcotics by health professionals is increasing, the author says, and professional security can be helpful to Pharmacy and Nursing in conducting a successful investigation. However, Security must recognize the reluctance of other departments to prosecute offenders, and utilize a team approach to develop a working relationship with those departments.
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We studied 39 cases from autopsies made between 1978 and 1988 in the Institut für Rechtsmedizin der Freien Universität Berlin and the Landesinstitut für gerichtliche und soziale Medizin Berlin in which the public prosecutor's office had investigated about robbery in coincidence with killing. The average age of the victims was 75 years, the average age of the perpetrators was 21 years. One third of the victims died because of bronchopneumonia. 5 victims only showed slight injuries, the autopsy showed no definite cause of death, but we found severe signs of illness of the organs resp. of the heart. In these cases we diagnosed a "psycho-physiological cause of death". One third of the victims had a severe stenosis of the coronary system and one third showed cardiac hypertrophy of over 450 g. Head and face had been the favorite target of the perpetrators. Most localisations of crime had been the apartments of the victims and the booty often was less than DM 100,-. 75% of the perpetrators had been previously convicted. In the cases with "psycho-physiological" cause of death the court condemned the perpetrators only because of booty but never because of killing.
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