390 results for “mental health deterioration”
58y · Female·Enterococcus faecalis sepsis and acute renal failure
…e regarding ED practice, though acknowledged 'overshadowing' bias may have affected her care in mainstream health systems.
29y · Male·hanging
…unication between medical and nursing staff, absence of occupational therapy, and failure to remove environmental hazards. While individual clinical judgment was not faulted, serious systemic deficiencies represented los…
41y · Male·mixed drug toxicity (methadone, valproate, zuclopenthixol)
…ould have considered drug ingestion as a possibility immediately; hourly sleep checks failed to detect deterioration in a deeply sedated patient; security gaps around psychiatric facilities pose contamination risks; vis…
49y · Male·complications of non-small cell carcinoma of the lung
…ionships, failed to obtain specialist information about cancer prognosis, did not complete a comprehensive health assessment plan, and did not recognise palliative care needs despite Howlett receiving such care in the co…
48y · Female·Sepsis due to pulmonary and cutaneous infections, with urinary tract infection a…
…sitioning documentation), delayed catheter replacement (5 days without IDC), failure to escalate wound deterioration, and loss of trust in providers due to inappropriate involuntary psychiatric admission and attempted r…
38y · Male·Acute drug toxicity due to clozapine-induced cardiac arrhythmia
…n created toxic clozapine and caffeine levels causing sudden cardiac arrhythmia overnight. No clinical deterioration was observed beforehand, and observations appeared normal (prisoner sleeping). The coroner found super…
83y · Female·Combined effects of severe malnutrition and infection (septicaemia secondary to …
…lect. Her daughter Nardia was her sole carer and appeared overwhelmed and possibly struggling with her own health. Dr D. saw Mrs Clark only ~10 times over 3 years, mostly seeing Nardia without the patient present. Defici…
60y · Female·sepsis due to community acquired pneumonia
…r 2018 with bilateral community-acquired pneumonia and was discharged after 6.5 hours despite clinical deterioration. She collapsed at home within hours and died at Royal Adelaide Hospital. The coroner found her death w…
30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…
Heather Calgaret, a 30-year-old Aboriginal woman, died from hypoxic ischaemic encephalopathy after being administered a first dose of buprenorphine (Buvidal) injection without prior stabilisation on sublingual Suboxone. …
36y · Male·bronchial asthma
…rt evidence confirmed that earlier ambulance dispatch could have given him a chance of survival. More fundamentally, during his four months in custody, Nathan's severe asthma was never properly assessed or managed; he wa…
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