Deceased
Annie Kane
Demographics
93y, female
Date of death
2009-07-08
Finding date
2011-07-18
Cause of death
Complications of fractured neck of femur in a woman with congenital heart failure
AI-generated summary
Annie Kane, 93, with congestive heart failure and hypertension, sustained a fractured neck of femur following an unwitnessed fall at Jasmine Lodge supported residential service in July 2009. The fall occurred in an area away from the fixed alarm button, delaying staff assistance. She was transferred to Maroondah Hospital where imaging confirmed the fracture. Given her advanced age and cardiac condition, surgery was declined and palliative care was instituted. She died from complications of the fracture combined with her underlying heart failure. The coroner identified no clinical error in hospital management but highlighted a safety issue: fixed alarms may be inaccessible to residents who fall in remote facility areas. The coroner recommended that the Department of Health review and potentially mandate personal, wearable alarm systems in supported residential services to improve response times to falls.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Clinical conditions
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