Coronial — Australian Coroners Findings

State

WANSW2VICQLDSATASACTNT

Setting

hospitalaged caremental healthcommunity1home1other

Hospital

Manly Hospital1Liverpool Hospital1

Specialty

psychiatry2psychology1general practice1emergency medicine1addiction medicine1

Error Type

diagnosticmedicationproceduralcommunicationsystemdelay

Preventability

PreventablePossibly preventableNot preventableNot stated2

Age Group

Adult2PaediatricNeonate

Sex

Male2Female

Clinical Flags

Escalation failureAHPRA referral madeRural / remotePrison / police custodyAged care deathMental Health Act involved1Family violence relatedHas recommendationsHas podcast episode0

Year Range

–

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NSWcommunity2016-03-24

Inquest into the disappearance and suspected death of Peter Millett

45y · Male·unable to determine

Peter Anthony Millett, a 45-year-old man with schizophrenia, disappeared on 27 August 2013 and is presumed deceased. In the weeks preceding his disappearance, his mental health deteriorated significantly—he exhibited rap…

general practicepsychiatryzyprexia

NSWhome2014-05-09

Inquest into the death of Adam HAYWARD

33y · Male·multi-drug toxicity as a result of misadventure

Adam Hayward, a 33-year-old with borderline personality disorder, poly-substance abuse, and a complex psychiatric history including recurrent suicidal ideation and overdoses, died from multi-drug toxicity in October 2009…

psychiatryemergency medicinequetiapine

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