Coronial

23 results for indwelling urinary catheter

TASaged care2022-10-13

Coroner's Finding: Krushka, Robert

66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion

…n with severe dementia and multiple comorbidities died from sepsis following bacteraemia after a routine indwelling urinary catheter change at a nursing home. The catheter insertion was traumatic, resulting in haematuria…

geriatric medicineemergency medicineproceduralsystem
SAhospital2017-11-15

Coroner's Finding: BROADWAY Rita Ann

66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…

Rita Ann Broadway, 66, died from urinary tract infection on 2 January 2015, one day after presenting to Modbury Hospital Emergency Department with…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
VIChospital2016-03-15

Finding into death of George Mavraganis

50y · Male·Complications of urosepsis in the setting of T3/4 paraplegia

… with T3/4 paraplegia from a childhood injury, was residing in supported accommodation. He had a chronic indwelling urinary catheter with recurrent infections. On 24 August 2015, his long-term GP prescribed antibiotics f…

intensive caregeneral practice
VIC2025-08-15

Finding into death of Donald Raymond Muir

59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)

…ced progressive functional decline over 12+ months with multiple falls, recurrent respiratory infections, urinary retention requiring indwelling catheterization, and aspiration risk due to swallowing difficulties. Despi…

general medicineoccupational therapydutasteride
VICaged care2022-06-17

Finding into death of Brent Andrew Newman

58y · Male·Pneumonia and urosepsis

…nset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His indwelling catheter was poorly managed, causing urethral trauma and erosion. Staff failed to recognise signs of cli…

geriatric medicinegeneral practicecommunicationsystemcefalexin
VICaged care2019-02-21

Finding into death of Kathleen Schleibs

88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…

…man died from sepsis with multiple organ failure following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical failures included: inadequate assessm…

orthopaedic surgerygeriatric medicinediagnosticcommunicationfentanyl
SAhospital2010-06-04

Coroner's Finding: PRIDE Wilfred Thomas

93y · Male·ischaemic heart disease

… heart disease while detained under the Mental Health Act. He presented with delirium likely secondary to urinary tract infection from an indwelling catheter. Despite aggressive behaviour and refusal of care, Mental Hea…

cardiologypsychiatryheparin
NSWhospital2022-08-17

Inquest into the death of Michael Quinn

31y · Male·sepsis due to urosepsis and pneumonia on a background of C3 incomplete tetrapleg…

…inn received appropriate medical care in custody. The death was attributed to complications of long-term indwelling bladder catheterisation, a known risk factor for sepsis in spinal cord injury patients. The expert speci…

urologyinfectious diseases
VIChospital2017-10-25

Finding into death of Larry James Faderson

53y · Male·Aspiration pneumonia in a man with myotonic dystrophy

…r home environment. The community residential unit staff were inadequately trained in palliative care and catheter management, and he deteriorated rapidly, requiring readmission within hours. The coroner found care was r…

respiratory medicineinfectious diseasescommunicationsystem
SAhospital2018-09-07

Coroner's Finding: MCBRIDE Peter James

86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer

…es (no pressure-relieving mattress for weeks despite clear need), and inadequate nursing documentation. A urinary catheter was inserted without clear indication, promoting immobility. High-dose antipsychotics (olanzapin…

general practicegeriatric medicinediagnosticproceduralolanzapine
SAaged care2009-06-26

Coroner's Finding: DAVIES Harold Leslie

87y · Male·multi organ failure due to septic shock complicating urinary tract infection and…

…trial fibrillation on warfarin developed septic shock and multi-organ failure following traumatic bladder catheterisation. Two catheterisation attempts occurred on 15 July 2005: an unsuccessful attempt by an RDNS nurse f…

general practiceurologyproceduralcommunicationwarfarin
SAhospital2003-04-24

Coroner's Finding: KERKMAN Johannes Leonardis Stephanes

75y · Male·Multi-organ failure due to sepsis secondary to hospital-acquired pneumonia

…de Hospital with cerebrovascular accident and white matter disease, subsequently developed urosepsis from urinary retention, then hospital-acquired pneumonia. The coroner found no concerns about the standard of treatmen…

general medicineneurologyaspirin
VIChospital2025-10-09

Finding into death of Graham Keith Moore

57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia

…ns, and sleep disturbance, prompting hospital admission. During his one-month hospital stay, he developed urinary retention, poor oral intake, decreased mobility, and regularly refused care. On 1 February, he had a hypo…

general medicinegeriatric medicineintravenous fluids
VIChospital2014-02-12

Finding into death of Kenneth James Morrison

61y · Male·Pneumonia

Kenneth Morrison, a 61-year-old man with Down's syndrome, dementia and multiple comorbidities, died from pneumonia following hospitalisation at Casey Hospital in March 2008. Community Residential Unit (CRU) carers raised…

general medicinegeriatric medicinecommunicationantibiotics
NSWhospital2018-06-29

Inquest into the death of Aidan Mara

3y · Male·Influenza A infection (Type H3N2)

Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…

paediatricsemergency medicinediagnosticcommunicationcefotaxime
WA2025-06-12

Inquest into the Death of Graham John BUTLER

76y · Male·out-of-hospital cardiac arrest in a man with coronary artery atherosclerosis and…

Graham John Butler, aged 76, was a sentenced prisoner at Acacia Prison who died from out-of-hospital cardiac arrest caused by coronary artery atherosclerosis in the context of long-standing type 2 diabetes, hypertension,…

correctional healthgeneral medicinebenzydamine
VIChospital2015-07-01

Finding into death of Robert Charles Avery

86y · Male·Septic shock secondary to urosepsis

…s or the ordered blood tests before discharge. Avery was readmitted next day with sepsis from a resistant urinary tract infection and died of septic shock. Key failures included: failure to review progress notes and blo…

surgerygastroenterologycommunicationsystemmixtard insulin
VICaged care2024-03-28

Finding into death of Shirley Hill Jones

85y · Female·Complications of a left ankle fracture (operated)

…oning. Shirley subsequently experienced multiple medical complications including orthostatic hypotension, urinary tract infections, oral candidiasis, hypercalcaemia, and progressive functional decline over two months. T…

geriatric medicineorthopaedic surgerycommunicationdelayoxycodone
WAhospital2013-11-12

Inquest into the Death of Ford, Valma May Ruth

77y · Female·Complications following a recent fracture and surgical repair of the right hip i…

… high UTI risk in elderly females; cloudy urine postoperatively suggested possible E. coli infection from catheter. (2) Single perioperative antibiotic dose (Keflin) was inadequate; infection risk appeared unrecognized. …

orthopaedic surgeryemergency medicinediagnosticsystemwarfarin
WAcommunity2004-10-08

Inquest into the Death of Morgan

31y · Male·Lymphocytic Myocarditis in association with Acute Pericarditis (viral origin, ae…

Norman John Morgan, aged 31, died at Carnarvon Airport on 21 December 2001 from lymphocytic myocarditis with acute pericarditis (viral origin). He presented to Carnarvon Regional Hospital on 20 December with chest and sh…

general medicineemergency medicinecommunicationsystemceftriaxone

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