181 results for “poor medication compliance”
62y · Female·Unknown. Likely natural causes, possibly with drug-related element. QT-prolongat…
…vulnerable patients with multiple comorbidities; ensuring adequate follow-up when prescribed psychiatric medications; recognising signs of serious illness in patients with hoarding and poor living conditions; coordinatio…
24y · Male·blunt trauma and drowning due to intentional jumping from Tasman Bridge
…dical advice. Admission to mental health unit followed police intervention; he improved on antipsychotic medication but ceased compliance after discharge in February 2023. Over three months he appeared stable and did not…
68y · Female·chronic obstructive pulmonary disease
…or acute COPD exacerbation on 29 August 2016. Despite multiple interventions including oxygen, nebulised medications, and trials of non-invasive ventilation (BiPAP), she demonstrated poor compliance, refused diagnostic i…
60y · Female·undetermined; natural causes not excluded (possible paraganglioma infarction, pn…
…chiatric improvement. She was prescribed increased Sertraline but her brother-in-law found all discharge medications still sealed, suggesting non-compliance. Police visited on 8 November 2021 after welfare concerns and f…
57y · Male·atherosclerotic heart disease in a man with diabetes mellitus
…cy response and resuscitation attempts. The coroner found no medical care deficiencies. Key issues were his poor medication compliance (particularly insulin), cannabis use, and family concerns about delayed release given…
33y · Male·Multi-organ failure due to sepsis on a background of severe ischaemic cardiomyop…
…tion with colostomy, and recurrent heart failure admissions. His condition was significantly compromised by poor medication compliance, ongoing methamphetamine use despite being on home detention, and progressive cardiac…
31y · Male·global hypoxic brain injury secondary to positional asphyxia following an epilep…
…nd hospital neurologist was appropriate and of good standard over many years. Contributing factors included poorly controlled epilepsy (related to medication non-compliance and sleep deprivation), morbid obesity (BMI 39)…
26y · Female·Hypoxic brain injury in the setting of immersion
…oman with schizophrenia and anorexia, was admitted to a psychiatric ward with acute psychosis due to non-compliance with clozapine. Over two days, she developed severe abdominal pain and constipation unresponsive to medi…
44y · Male·Unascertained
…ce of structured follow-up after hospital discharge for vulnerable patients with complex needs, ensuring medication compliance in patients with epilepsy and substance use disorders, and coordinated care across mental hea…
39y · Male·ligature compression of the neck (hanging)
…ed by suicide following arrest for criminal damage. While treated under a Community Treatment Order, he had poor medication compliance and ongoing drug use. Key clinical lessons include the need for better coordination b…
18y · Male·neck compression due to hanging
…n unsuitable co-resident. Key clinical failures included: insufficient recognition of chronic suicide risk, poor medication compliance without enforcement mechanisms, missed opportunities for crisis intervention in final…
60y · Male·Complications of gastrointestinal haemorrhage due to cirrhosis of the liver seco…
…itions including oesophageal varices, ischaemic heart disease, and uncontrolled diabetes. In prison, his medication compliance improved significantly compared to community care, and he received excellent comprehensive me…
gunshot wounds; multiple deaths during police interventions with mentally ill in…
…included: inadequate assessment procedures disregarding family concerns, inappropriate discharge decisions, poor medication compliance monitoring, lack of continuity of care (especially for released prisoners), and insuf…
27y · Male·unascertained
…ge from hospital for acute psychiatric crisis. He had relocated to Western Australia to avoid compulsory medication in South Australia. After being found naked in the street and admitted for psychiatric treatment on 6 Fe…
19y · Male·Multiple injuries sustained on a train impact (pedestrian)
…s enrolled in the Headspace Youth Early Psychosis Program and was receiving treatment with antipsychotic medication (aripiprazole depot). Key clinical lessons include: the importance of early identification and treatment…
5y · Female·Multiple stab wounds to the back
…ental health treatment: inadequate face-to-face contact from 8 December onwards (mostly brief phone calls), poor mental state and risk assessment documentation, lack of psychoeducation despite guidelines, failure to moni…
30y · Male·Multiple injuries due to a fall from a height
Marcus Harrison, a 30-year-old man with schizophrenia, died between August-October 1997 after falling from a height into Sydney Harbour. His body was found in the harbour in October 1997 but remained unidentified for 24 …
25y · Male·ligature compression of the neck (hanging)
…er. The coroner found the ward transfer reasonable in foresight given his apparent clinical improvement, compliance with medication, and regular escorted leave without incident. However, the deceased's sister reported he…
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 …
68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…
…espiratory registrar attempted to prescribe discharge apixaban but mistakenly ordered it as an inpatient medication, then cancelled the wrong order, leaving both medications active. The patient received both drugs before…
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