20 results for “indwelling catheter insertion and management”
66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion
A 66-year-old man with severe dementia and multiple comorbidities died from sepsis following bacteraemia after a routine indwelling urinary catheter c…
58y · Male·Pneumonia and urosepsis
Brent Newman, a 58-year-old man with Down syndrome and early-onset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility.…
59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)
Donald Raymond Muir, a 59-year-old man with Trisomy 21, non-verbal autism, dementia and epilepsy living in specialist disability accommodation, died of urosepsis and aspiration pneumonia. He had …
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
…e following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical failures included: inadequate assessment before discharge from acute care despite unc…
53y · Male·Aspiration pneumonia in a man with myotonic dystrophy
A 53-year-old man with myotonic dystrophy and recurrent aspiration pneumonia died from aspiration pneumonia after premature discharge from hospital to a …
77y · Male·multi-organ failure due to general inanition on a background of end-stage Alzhei…
…nition while subject to a Level 2 Inpatient Treatment Order at Repatriation General Hospital. His cognitive and physical decline was rapid following admission in October 2016. The coroner found the care provided was app…
57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia
Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specia…
3y · Male·Influenza A infection (Type H3N2)
Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons …
61y · Male·Pneumonia
Kenneth Morrison, a 61-year-old man with Down's syndrome, dementia and multiple comorbidities, died from pneumonia following hospitalisation at Casey Hospital in March 2008. Comm…
73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…
73-year-old woman died 12 days after elective colorectal surgery for synchronous caecal and rectal tumours. Post-operatively, she developed persistent low urine output and intermittent hypotension ma…
77y · Female·Complications following a recent fracture and surgical repair of the right hip i…
… fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Key clinical lessons: (1) Admission urinalysis was not …
66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet
…-year-old woman with untreated rheumatoid arthritis, severe lower limb cellulitis with gangrenous necrosis, and a personality disorder died from aspiration pneumonitis. She had progressive immobility, lived on a couch, …
85y · Female·Complications of a left ankle fracture (operated)
… a left ankle fracture requiring surgical repair. A significant delay occurred in removing her plaster cast and sutures—the cast remained on for 5 weeks instead of the intended 2 weeks due to communication failures betw…
21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)
Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting w…
86y · Male·Septic shock secondary to urosepsis
…cedure was cancelled due to respiratory concerns, he was managed with fluid restriction, bowel preparation, and insulin adjustment. Despite overnight clinical deterioration (low blood pressure, rectal bleeding, poor ora…
81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…
An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin…
74y · Male·Pulmonary thromboembolism secondary to deep vein thrombosis in the setting of re…
…l fracture. He presented to rural ED with mental health concerns, was restrained by security guards after brandishing a fire extinguisher, and sustained C6-7 fracture and other spinal injuries. Critical failures include…
79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…
A 79-year-old woman with severe COPD and heart failure presented with two weeks of nausea and vomiting. She was diagnosed with left ventricular fail…
55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…
…5-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following suspected narcotic over…
83y · Female·Hyponatraemic encephalopathy due to adverse effects of citaprolam and duloxetine…
…escribing physician was unaware of the patient's previous hyponatraemia diagnosis due to hospital record management failures; (2) recognising that both citalopram and duloxetine carry hyponatraemia risk, particularly in …
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