Coronial — Australian Coroners Findings

State

WANSWVIC1QLD1SATASACTNT

Setting

hospital1aged caremental healthcommunityhomeother1

Hospital

St Andrews War Memorial Hospital1

Specialty

neurology2psychiatry1neurosurgery1forensic medicine1correctional health1cardiology1

Error Type

diagnosticmedicationproceduralcommunication1system1delay

Preventability

PreventablePossibly preventableNot preventable1Not stated1

Age Group

Adult2PaediatricNeonate

Sex

Male2Female

Clinical Flags

Escalation failureAHPRA referral madeRural / remote1Prison / police custody1Aged care deathMental Health Act involvedFamily violence relatedHas recommendations1

Year Range

–

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VIC2020-01-29

Finding into death of Prisoner A

55y · Male·Ischaemic heart disease in a man with multiple system atrophy (Parkinsonian type…

A 55-year-old man with ischaemic heart disease and multiple system atrophy (MSA) died suddenly in custody from natural causes. He presented with tremors and collapse in 2017, and was appropriately diagnosed with MSA Park…

cardiologyneurologylevetiracetam

QLDhospital2017-09-07

Mr R - Non-inquest findings

63y · Male·Multiple injuries due to fall from height

A 63-year-old man with Parkinson's disease died by suicide three days after discharge from hospital following reimplantation of a Deep Brain Stimulation (DBS) device. His initial DBS surgery in 2013 was successful, but d…

neurosurgeryneurologysystemcommunicationcitalopram

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

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