The author performed systematic analysis of health records referred to him for an opinion on the quality of medical care delivered to 67 jail or prison inmates who litigated, to ascertain why litigation had occurred. Three categories are described. In category A, the plaintiff was an inmate with injuries hard to define in physical terms or that occurred after release. In category B, the inmate had injuries or sequelae that would be readily visible by a juror. In category C, the inmate died in custody; these deaths occurred for a variety of reasons. Similarities and patterns were found for all three categories. Simple risk management suggestions to prevent litigation and improve correctional health care delivery are provided.
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