Clubb, Monique Irene
Deceased
Monique Irene Clubb
Demographics
24y, female
Date of death
2013-06-22
Finding date
2022-01-13
Cause of death
Undetermined
AI-generated summary
Monique Irene Clubb, a 24-year-old with opioid addiction following a serious motor vehicle accident, disappeared on 22 June 2013 after obtaining prescriptions for fentanyl patches and diazepam from a medical centre in Beenleigh. She was last seen entering a shopping centre toilet and subsequently seen crossing a creek; her body has never been found. The coroner found Dr A's prescribing of five 75mcg fentanyl patches and 50 diazepam tablets to this young, first-time patient using a false identity was inappropriate and not evidence-based. Critical gaps in the police investigation included failure to review sufficient CCTV footage after the last sighting, inadequate phone record analysis, failure to properly handle evidence, and lack of clear command structure determining the lead investigator. These gaps prevented establishing whether she left Beenleigh. Clinical lessons include the dangers of inadequate identity verification, inappropriate high-dose opioid prescribing to first-time patients without prior medical records, and the need for systems preventing doctor-shopping.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Drugs involved
Clinical conditions
Contributing factors
- Inappropriate prescribing of high-dose fentanyl patches (75mcg) and benzodiazepines to first-time patient
- Failure to verify identity or obtain previous medical records
- Doctor-shopping by patient using false name
- Patient's opioid addiction and history of drug use
- Inadequate police investigation with gaps in CCTV review, phone records analysis, and command structure
- Confusion regarding lead investigator responsibilities in police investigation
Coroner's recommendations
- QPS consider a further trial and/or implementation of airborne phone location systems
- QPS consider amendment of the relevant sections of the Operational Procedures Manual to remove possible confusion as to which region or unit is responsible for allocation of a lead investigator for missing persons investigations
Full text
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Source and disclaimer
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