Coronial
SAhospital

Coroner's Finding: KLOSE Glen Malcolm

Deceased

Glen Malcolm Klose

Demographics

71y, male

Date of death

2000-07-29

Finding date

2001-05-16

Cause of death

Saddle pulmonary embolus as a consequence of deep venous thrombosis in the right calf, associated with multiple previous surgery of the right leg

AI-generated summary

Glen Malcolm Klose, aged 71, died from a saddle pulmonary embolus secondary to deep vein thrombosis in his right calf, a complication associated with his history of multiple knee surgeries. He was admitted to Glenside Hospital on 14 July 2000 under Mental Health Act detention for severe depression with psychotic features. On 28 July 2000, he was transferred to Royal Adelaide Hospital where right calf DVT was identified on ultrasound but no anticoagulation was administered. He collapsed in cardiac arrest the following morning. The coroner found the death unrelated to his detention or hospital care. A procedural issue was identified regarding the grant of leave of absence rather than formal transfer under the Mental Health Act, which created ambiguity about his legal status during hospitalisation.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

psychiatrygeneral medicineintensive care

Error types

delay

Clinical conditions

deep venous thrombosispulmonary embolismdepressionpsychotic features

Contributing factors

  • History of multiple knee surgeries on right leg
  • Deep vein thrombosis in right calf identified but not treated with anticoagulation
  • Procedural ambiguity regarding Mental Health Act leave of absence versus formal transfer

Coroner's recommendations

  1. Prefer formal transfer of detained patients under Section 16 of the Mental Health Act rather than granting leave of absence, unless it is clear the patient has recovered from the condition for which they were detained
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.