Name: Inquest into death of ABC (a pseudonym) Coroner: O'Connell Description: VAD substance supplied to a self-administration VAD patient but unused and not returned nor disposed of - Use by a non-VAD patient - a better system of protecting self-administration VAD substances against misuse by non-VAD patients. Findings date: 11/09/2024 Findings PDF, 3MB Queensland Government response not required
Name: Non-inquest findings into the death of Child Q Coroner: Gallagher Description: Bamaga Hospital, multiple presentations, appropriateness of care, bacterial chest infection. Findings date: 06/09/2024 Findings PDF, 297KB Queensland Government response not required
Name: Non-inquest findings into the deaths of Pilot 1 and Pilot 2 Coroner: Bain Description: Aviation – Recreational Flying – Plane crash – Touch-and-go manoeuvre – Insufficient thrust to maintain a climb Findings date: 22/08/2024 Findings PDF, 406KB Queensland Government response not required
Name: MUHAMMAD, Mahsan Coroner: Lee Description: Domestic commercial fishing vessel. Use of personal flotation devices in coastal waters. Noncompliance with procedures for onboard operational safety requirements Findings date: 20/08/2024 Findings PDF, 516KB Queensland Government response not required
Name: Non-inquest findings into the death of RJH Coroner: Kirkegaard Description: Health care related death; complex cardiac history; intravenous flecainide; small regional hospital; cognitive bias; lack of cardiology consult; hospital dispensary phone consultation service; guideline for intravenous flecainide prescribing & administration. Findings date: 13/08/2024 Findings PDF, 270KB Queensland Government response not required
Name: PATELESIO, Etevise Coroner: Lee Description: Management of Acute Behavioural Disturbance in the Emergency Department- Physical and Chemical Restraint- Droperidol- Monitoring Post Sedation- Compliance with Guidelines Findings date: 30/07/2024 Findings PDF, 533KB Queensland Government response not required
Name: Non-inquest findings into the death of Mr K Coroner: Zerner Description: Health care related death; chronic obstructive pulmonary disease (COPD); oxygen administration; oxygen saturations; carbon dioxide retainer; interhospital transfer Findings date: 19/07/2024 Findings PDF, 270KB Queensland Government response not required
Name: MAJOR, Markiah Coroner: Williams Description: Missing person, suspected passing, suspected death, First Nations young person, police investigation, vulnerable witness, Roger Ward (A Pseudonym) v The Queen [2017] VSCA Findings date: 19/07/2024 Findings PDF, 359KB Queensland Government response not required
Name: Inquest into the deaths of Shiralee Deanne Tilberoo and Vlasta Wylucki Coroner: Coroner Gallagher Description: Inquest, deaths in police watchhouses, family liaison, adequacy of care of prisoners and adequacy of prisoner inspections. Findings date: 27/06/2024 Findings PDF, 2MB Queensland Government response not required
Name: Non-inquest findings into the death of a pilot Coroner: Coroner Lee Description: Aviation- Recreational Flying- Drifters- Low Level Flying- Alcohol and Drugs-Non-Compliance with Regulatory Framework Findings date: 18/06/2024 Findings PDF, 3MB Queensland Government response not required
