Coronial
VIChospital

Finding into death of David John Maynard

Deceased

David John Maynard

Demographics

74y, male

Date of death

2016-10-10

Finding date

2017-03-27

Cause of death

Hospital acquired pneumonia complicating chronic lung disease

AI-generated summary

David Maynard, 74 years old, died from hospital-acquired pneumonia complicating chronic lung disease. He was admitted to Royal Melbourne Hospital in July 2016 with chest pain and delirium attributed to hyponatraemia and GORD. He was subsequently transferred to transitional care, then to a secure geriatric ward, and then to a mental health unit where he was placed on a Mental Health Act order for untreated psychotic disorder. His physical health deteriorated; he was transferred back to Royal Melbourne Hospital on 3 October 2016 where pneumonia was diagnosed on imaging. He was found unresponsive on 10 October 2016 and despite CPR could not be revived. The coroner found that medical care and management were reasonable and appropriate, and made no findings of preventable error or system failure.

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

Contributing factors

  • chronic lung disease
  • functional decline
  • psychotic disorder requiring Mental Health Act admission
  • delayed recognition of physical health deterioration in mental health setting
Full text

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