Coronial

6 results for interhospital transfer

QLDhospital2024-06-21

Non-inquest findings into the death of Mr K

81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…

An 81-year-old man with severe COPD died following inappropriate interhospital transfer to a private hospital and subsequent management errors. Key clinical lessons: (1) patients wi…

respiratory medicineemergency medicinemedicationcommunicationdiazepam
QLDrural hospital2020-05-08

FD - Non-inquest findings

68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…

…lication guidance in rural settings; delayed surgical team acceptance (insisted on formal CT report); and transfer by single paramedic with nurse escort without RSQ consultation despite clinical instability. She arrested…

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
QLDhospital2025-10-24

Non-Inquest findings into the death of Ms G

76y · Female·Head injury comprised of subdural haematoma, subarachnoid haemorrhage with brain…

…markedly at 9pm with signs of increased intracranial pressure. Critical delays occurred in escalating and transferring her to a neurosurgical centre. The regional hospital's junior doctor failed to escalate deterioration…

neurosurgeryemergency medicinecommunicationdelay
QLDhospital2025-10-01

Non-inquest findings into the death of Mr S

26y · Male·Multi-organ failure due to pneumococcal septic shock

…psis pathway. This review did not occur, causing approximately 3-hour delay in antibiotic administration. Transfer to tertiary hospital was further delayed by 5 hours due to system issues with inter-hospital transfer acc…

emergency medicineinfectious diseasesdiagnosticdelayantacid
WAhospital2025-12-23

Inquest into the Death of Karl Albert STEINHAUSER

30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…

… increasingly challenging management at Kalgoorlie Health Campus for acute psychotic exacerbation, he was transferred by RFDS to Fiona Stanley Hospital ICU, intubated due to severe agitation. He died post-extubation from…

psychiatryintensive caresystemdelayaripiprazole depot
QLDcommunity2020-09-07

C - Non-inquest findings

6y · Male·Sepsis due to melioidosis

… and a five-hour delay in commencing intravenous antibiotics after admission on 10 January. The child was transferred to a regional hospital and then to a tertiary paediatric ICU, but despite maximal intensive care inclu…

paediatricsinfectious diseasesdiagnosticcommunicationparacetamol

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