329 results for “delivery”
32y · Male·Cerebral oedema secondary to dialysis disequilibrium syndrome
Andrew Stubbs, 32, died from cerebral oedema secondary to dialysis disequilibrium syndrome while receiving intermittent haemodialysis for severe lithium toxicity and acute kidney injury. Key preventable failures included…
20y · Male·severe blunt head trauma
Steven Bradford, a 20-year-old motorcyclist with a learner's permit, was riding an unregistered Honda CVR 600cc motorcycle illegally at high speed. After speeding on the Lincoln Highway, he was pursued by solo police off…
10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…
A 10-year-old girl died from multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infection. She presented to the Women's and Children's Hospital on day 3 of pharyngitis with ulceration of the tonsill…
31y · Male·gunshot wounds to chest
Jason Chapman, a 31-year-old man with schizophrenia, was fatally shot by police on 13 October 2004 after behaving erratically and threatening, armed with a knife. The coroner found police acted lawfully in self-defence w…
0y · Male·Perinatal hypoxia
…eath was preventable: transfer at approximately 3:30pm would have allowed hospital assessment and earlier delivery, likely preventing death. Key failures included inadequate risk discussion, failure to follow consultatio…
76y · Male·metastatic prostate cancer with terminal palliative care
Kevin John Keath, aged 76, died from metastatic prostate cancer while serving a life sentence at Casuarina Prison. He received holistic, compassionate, and appropriate healthcare throughout his incarceration, including r…
20y · Male·Lung infection on a background of oxycodone intoxication
A 20-month-old Aboriginal boy died from lung infection on a background of oxycodone intoxication after ingesting oxycodone tablets located in his grandparents' home. The child's grandparents had obtained 560 oxycodone ta…
80y · Male·bronchopneumonia complicated by morphine toxicity
An 80-year-old man with terminal liver disease died from bronchopneumonia complicated by morphine toxicity following a medication administration error. A Graseby infusion pump was incorrectly set at 99mm/hour instead of …
0y · Male·Intrapartum head injuries secondary to brow presentation and obstructed labour
Benjamin Glasgow died shortly after emergency caesarean delivery at 12:30 pm on 19 October 2006 for brow presentation, an obstructed labour. Autopsy revealed unprecedente…
25y · Male·traumatic basal subarachnoid haemorrhage due to vertebral artery dissection
Phillip Hughes, a 25-year-old professional cricketer, died from traumatic basal subarachnoid haemorrhage caused by vertebral artery dissection after being struck on the neck by a cricket ball during a Sheffield Shield ma…
44y · Male·coronary artery disease superimposed upon chronic obstructive pulmonary disease …
John Benedict Munkara died at age 44 following cardiac arrest while in police custody after being found at Vestey's Beach. He had suffered severe, chronic alcohol abuse with multiple protective custody episodes. Critical…
19y · Male·Complications arising from hyperthermia, including total organ failure, rhabdomy…
Marcus Wilson, a 19-year-old roofing insulator, died from hyperthermia-induced organ failure, rhabdomyolysis and coagulopathy after working in a roof space during extreme heat (40°C+) without adequate hydration. He consu…
41y · Female·Intracerebral haemorrhage secondary to Posterior Reversible Encephalopathy Syndr…
Kerri Gunn, a 41-year-old woman five days post-caesarean delivery, presented to emergency with frontal headache, elevated blood pressure, proteinuria, abnormal liver funct…
Male·Injuries sustained in an explosion of the Leda II motor cruiser caused by igniti…
On 3 May 2008, Alexander and Jennifer Elliott died when their newly purchased 1946 Halvorsen motor cruiser, Leda II, exploded at a refuelling wharf at Pier 35, South Melbourne. The explosion resulted from ignition of acc…
7y · Female·cardiac tamponade due to total parenteral nutrition fluid leakage into the peric…
A 7-year-old girl with spina bifida died from cardiac tamponade caused by total parenteral nutrition (TPN) fluid leaking into the pericardial sac via a central venous line inserted during bowel obstruction surgery. Clini…
56y · Male·head injuries inflicted by blunt force trauma
56-year-old John Douglas Simpson-Willson was fatally assaulted in Brisbane's Botanical Gardens on 3 June 2005 by Daniel Pattel, released from prison five days earlier. Pattel had expressed clear intentions to kill someon…
Unknown·Acute myeloid leukaemia (AML)
Four patients with acute myeloid leukaemia (AML) died following administration of chemotherapy consolidation therapy that was delivered according to a protocol containing a critical error—specifying once-daily instead of…
43y · Female·choking on a food bolus
Joanne Callahan, a 43-year-old woman with intellectual disability and autism, died from choking on a food bolus while attending a disability day program. Critical failures in communication between her residential care pr…
37y · Female·Hypoxic brain injury consequent upon hanging
Louise Litis, 37, died from hypoxic brain injury following a hanging at Northpark Private Hospital's Mother and Baby Unit on 7 December 2007. She had severe recurrent postpartum depression and had attempted suicide two w…
41y · Male·Hanging
Franky Houdini, aged 41, died by hanging in his prison cell at Wolston Correctional Centre on 2 June 2015. He was subject to an involuntary treatment order for paranoid schizophrenia and was undergoing dangerous prisoner…
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