17 results for “insertion of indwelling urinary catheter”
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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. …
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…
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…
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…
83y · Female·Hyponatraemic encephalopathy due to adverse effects of citaprolam and duloxetine…
An 83-year-old woman with pre-existing SIADH-related chronic hyponatraemia died from hyponatraemic encephalopathy following antidepressant therapy. Critical clinical lessons include: (1) the importance of accessing prior…
55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…
Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following susp…
38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)
Susannah McLevie, a 38-year-old woman, died on 6 April 2006 from untreated Group A Streptococcal septicaemia (puerperal sepsis) following childbirth at Osborne Park Hospital. She developed fever (38°C) at 3am on 5 April,…
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