391 results for “psychiatric medication management”
41y · Male·Dilated cardiomyopathy
…Tarampa After Care Centre) in Queensland in January 2007. While his mother was concerned that prescribed medications, particularly Clozapine, had caused his death, the coroner found no evidence that Clozapine caused his …
64y · Male·Large pulmonary embolus (origin undetermined)
…auer, 64, died of pulmonary embolus at Leeton District Hospital following a complex admission involving psychiatric depression, atrial fibrillation, urinary retention, and multiple comorbidities. The coroner identified …
31y · Male·Quetiapine toxicity in a man consuming sertraline and mirtazapine
…rated between October-November 2006. Critical learning: His team relied solely on patient self-report of medication compliance despite documented non-compliance (retrospective pill counts showed he stopped lithium and va…
24y · Male·Multiple gunshot wounds
… five days prior to a psychiatrist who saw no acute psychotic symptoms and continued assertive community management. Critical systemic issues identified: excessive psychiatrist caseloads (60+ patients) prevented meaningf…
36y · Female·Internal injuries consequent on being stabbed repeatedly by Rocky Manu, a man wi…
…her flatmate Rocky Manu, who had paranoid schizophrenia. Rocky had been non-compliant with antipsychotic medication for 3.5 months before the fatal attack while remaining acutely psychotic and experiencing persecutory de…
41y · Female·Aspiration pneumonia in the setting of a mixed drug toxicity
…tly more tramadol than prescribed (up to 850mg versus 450-500mg daily prescribed dose). She had complex psychiatric history (ADHD, depression, bipolar disorder, anxiety, eating disorder) and chronic pain managed with po…
51y · Male·Stab wound to the heart
…reatment Team provided high-quality intensive community care appropriate to his needs. His antipsychotic medication management, including response to persistently low clozapine levels, was consistent with good clinical p…
40y · Female·The medical cause of death was unable to be determined. Manner of death: uninten…
… presentation on 21 April when she was found semi-naked at the airport – staff did not access her known psychiatric history despite police providing her name, missing a clear opportunity for admission; (2) inadequate ps…
36y · Female·head injury
… chance encounter. The death resulted from a complex series of missed opportunities in mental healthcare management. Key failures included: cessation of antipsychotic depot medication in April 2017 without adequate monit…
83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…
…unicated to the receiving facility, leading to continuation at dangerous levels. (2) Multiple falls were medication-related but not promptly recognized as such. (3) Fractures from falls were not identified radiologically…
47y · Male·Hanging
… and alcohol dependence died by hanging at a rooming house. He had been non-compliant with antipsychotic medications for months, experiencing severe auditory hallucinations that he self-treated with daily alcohol use. Mu…
31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…
…records, mandate secure custody for absconding forensic patients, provide mandatory aggressive behaviour management training, equip staff with soft restraints to shorten dangerous physical struggles, and improve senior p…
29y · Female·Effects of multiple injuries sustained when she projected herself from the top o…
…or bipolar disorder; ensure comprehensive information-sharing between practitioners; warn patients about medication side effects; involve family in monitoring.
24y · Female·Ligature compression injury to the neck (hanging)
…6, nine days after absconding from Fremantle Hospital's Alma Street Clinic where she was an involuntary psychiatric patient. She had been admitted on 3 April 2006 with psychosis secondary to substance abuse. On 10 April…
49y · Male·pneumonia, hypoxic brain injury and cardiac arrest
49-year-old male with chronic cannabis dependence and depression developed post-surgical delirium following emergency anterior resection for perforated diverticulum. He became acutely agitated and paranoid, was detained …
17y · Female·mixed drug toxicity
…m Melbourne. Dr T. rapidly escalated her dose from 35mg to 70mg in five days without assessing previous psychiatric treatment or heroin history. Nicole was taking benzodiazepines, doxepin, and fluoxetine—creating danger…
37y · Female·Hypoxic brain injury consequent upon hanging
…on; and (5) poor documentation of clinical reasoning and team communication. An independent review found medication and pre-admission management appropriate, but highlighted systemic failures in risk assessment processes…
32y · Female·Alcoholic ketoacidosis
…ounselling through EDAS, her care was fragmented across three separate services without coordinated case management. She had been successfully stabilised in a structured community care unit but struggled after discharge …
50y · Female·acute heart failure in association with acute on chronic obstructive airways dis…
…r care generally reasonable but identified deficient record-keeping, lack of daily progress notes, and a medication chart incorrectly documenting medications given after her death. The hospital subsequently implemented i…
22y · Male·Multiple injuries from fall from height
Mitchell Follent, 22, died by fall from a third-floor balcony five days after discharge from his first psychiatric admission for post-ictal/drug-induced psychosis. He had intellectual disability, epilepsy, and acquired…
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