185 results for “triage assessment”
40y · Male·ischaemic heart disease due to coronary atherosclerosis
… approximately a week and a half, presenting with symptoms including arm pain and associated cough. He was triaged as Category 3 (non-urgent) despite the Department's protocol requiring a clinical assessment of whether c…
0y · Male·Myocarditis
…. He waited 1 hour 52 minutes before receiving definitive treatment due to bed unavailability. The initial triage assessment was suboptimal: complete vital signs (heart rate, respiratory rate, oxygen saturation) were not…
11y · Male·Sepsis
…ure, was discharged with a viral diagnosis. He re-presented on 15 June appearing critically unwell but was triaged by an incompletely trained nurse who failed to obtain vital signs. He waited 3 hours for medical review w…
37y · Male·complete blockage of the right anterior descending coronary artery with blood cl…
…o Royal Darwin Hospital Emergency Department with chest pain and dyspnoea during football training. He was triaged as Category 3 by the triage nurse, who found his presentation atypical for acute coronary syndrome, parti…
0y · Unknown·unascertained
…f sepsis including hypothermia, lethargy, poor feeding, and jaundice. Critical failures in recognition and triage occurred: the infant was inappropriately triaged as Category 3 (requiring review within 30 minutes) in the…
63y · Male·uncontrolled haemorrhage from ruptured aortic aneurysm
…route to hospital on the second callout, the attending ambulance officer failed to communicate this to the triage nurse. The patient was triaged as category four (2+ hour wait) based only on chronic back pain. He was not…
75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)
…th, black motions, and coughing up pink phlegm (pulmonary oedema). Despite his recent cardiac surgery, the triage assessment directed him to RBWH based primarily on gastrointestinal bleeding symptoms, as TPCH lacked gast…
0y · Male·Concussive brain injury
…tifying concerns about the family (maternal depression, drug use, bruised sibling) but closed it without assessment due to lack of capacity. The coroner found DCJ should have utilised alternate mandated options at triage…
36y · Male·Hanging
…ic inpatient care after being absent without leave for 72 hours. On 4 June 2017, he contacted the Crisis Assessment and Treatment Team (CATT) at 5:53pm requesting urgent help, stating 'I need help. I have to come in.' Th…
53y · Male·severe burns
…childhood sexual abuse). Police transported him to Bairnsdale Hospital but failed to contact mental health triage or remain until psychiatric assessment. Hospital staff did not understand his legal status and he left wit…
Unknown·Panella: pulmonary thromboembolism due to left calf deep vein thrombosis; Skeffi…
…ood tests before cardiac arrest. The Inquest examined systemic issues: inadequate patient visualisation at triage, lack of structured handovers, absence of deterioration protocols on ramps, insufficient triage nurse reso…
32y · Female·Caffeine toxicity
…icity after ingesting caffeine tablets. She called 000 at 7:49 pm reporting dizziness and numbness but was triaged as non-urgent Code 3. Unable to connect with a secondary triage practitioner and with no welfare check pr…
21y · Male·dilated cardiomyopathy
…ed investigations until Monday. Dean deteriorated and attended ED on 7 September, where he was incorrectly triaged as Category 4 (rather than Category 3), resulting in a 3-hour delay before medical assessment. Despite ra…
46y · Male·Pulmonary thromboembolism complicating left calf deep venous thrombosis
A 46-year-old man presented to ED with a two-day history of left calf pain, swelling and numbness. He was triaged to Fast Track and evaluated by an emergency physician who suspected DVT but had no ultrasound available o…
16y · Male·Pneumonia complicating influenza A (H1N1) infection with secondary Staphylococcu…
…September 2010 with fever (39.4°C), vomiting, diarrhoea, and sweating—features of septic shock. RN Swoboda triaged him as gastroenteritis without proper vital sign assessment, despite concerns about meningitis and a high…
0y · Female·Pneumococcal meningitis
Allegra, aged 6 months, died of pneumococcal meningitis after a Healthdirect telephone triage call on 28 April 2010 that resulted in inappropriate home-care advice. She presented with fever (38.9°C), …
24y · Female·hypoxic brain injury following unexplained cardiorespiratory arrest
…al communication failures and system delays undermined this appropriate clinical decision. The patient was triaged as ATS 3 at RPH despite pathology indicating ATS 2 was appropriate; the triage nurse did not review the J…
46y · Male·asphyxia by hanging
…resented to mental health services in November 2013 with first-episode psychosis. After initial hospital assessment and two CAT Team visits, his case was closed on 10 December following a phone consultation where he decl…
51y · Female·Multiple injuries sustained when struck by a car while lying on the Mornington P…
…ied by suicide after absconding from an Emergency Department. She presented with suicidal ideation and was triaged as Mental Health Category 4. Key failures included: the Crisis Assessment Team clinician had no knowledge…
32y · Male·multiple injuries sustained in a fall from height
…atient's psychosis and called the Mental Health Acute Team, the intake officer failed to complete required triage documentation or alert the receiving hospital—breaching mandatory policies. At the Emergency Department, a…
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