149 results for “blood testing”
59y · Male·complications of viral liver cirrhosis with hepatocellular carcinoma
Mervyn Morgan, aged 59, died from complications of hepatocellular carcinoma arising from cirrhosis while in prison custody. Critical failures included: delayed monitoring of known liver cirrhosis (no ultrasound despite M…
37y · Male·Haemopericardium secondary to aortic dissection
…horesis and nausea. Dr G., the sole ED physician, conducted initial assessment including ECG and troponin testing, both normal. He diagnosed gastritis and admitted for observation. Costello collapsed in shower that even…
68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…
…e design. System solutions require vendor collaboration, regulatory oversight, and standardised usability testing. Health services need TGA regulation of EMR software as medical devices with mandatory usability complian…
0y · Male·Complications in association with fulminant sepsis in an infant (Streptococcus p…
… blanching rash, discharge occurred with parental consent. A GP visit on 24 August resulted in appropriate blood test orders but the family delayed testing. At Rockingham General Hospital on 25 August, septic shock was …
86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer
An 86-year-old man died from multi-organ failure due to sepsis from a stage 4 sacral pressure ulcer after 61 days in a regional hospital. Critical failures included delayed pressure injury risk assessment (7 days overdue…
48y · Male·Injuries sustained when struck by a train
A 48-year-old man with mental health issues including depression and possible bipolar disorder died by suicide following train strike. He had a complex presentation with diagnostic uncertainty between bipolar affective d…
75y · Female·Septicaemia (Staphylococcus aureus) with antecedent cause of septic arthritis
A 75-year-old woman with chronic pain and previous staphylococcal infections presented to Glen Innes District Hospital with a swollen, warm right knee 10 days after a corticosteroid injection. Junior doctor Dr M. appropr…
38y · Male·metastatic lung carcinoma
Thomas Brigham, a 38-year-old prison inmate, died from metastatic lung carcinoma after a delayed diagnosis. Over three months, he presented repeatedly with back pain, weight loss, poor appetite, and a persistent cough. D…
55y · Male·Septicaemia due to hydronephrosis and infection
A 55-year-old man with complex medical and social problems died of septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, and chronic hoarding beh…
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