Deceased
Barry Michael Daly
Demographics
53y, male
Date of death
2008-04-21
Finding date
2010-09-27
Cause of death
Burns to 75% of body surface area and severe lower airway inhalation injury
AI-generated summary
Barry Michael Daly, 53, died from severe burns (75% BSA) and inhalation injury sustained in a deliberately-set house fire on 20 April 2008. He had been detained at Glenside Hospital on 10 April 2008 under the Mental Health Act for bipolar disorder with manic features, assessed as at moderate to extreme risk of absconding given his repeated history of leaving without leave. He absconded on 11 April, yet was arrested twice that day. Police and custody staff were unaware of his detention status due to failures in communication and inadequate training regarding MHA protocols. Glenside staff received misleading information that he would remain in custody until Monday, so took no steps to retrieve him. When released on bail both times, he should have been apprehended under MHA powers and returned to the hospital. His detention expired 13 April. The coroner found multiple system failures prevented return to the hospital, where he would likely have been re-detained in a closed ward, potentially preventing his death.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Clinical conditions
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Source and disclaimer
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