Coronial findings
To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.
Showing 1-10 of 31 results
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW - Cycling death - bicycle helmet - star system rating with respect to bicycle helmets
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RecommendedDecision of Deputy State Coroner ForbesCORONIAL LAW - Death as a result of a police operation - traffic stop - L plater
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RecommendedDecision of Deputy State Coroner LeeCORONIAL LAW - care and treatment; Ryde Hospital; Macquarie Hospital; Lavender House; concurrent administration of contraindicated medication; verapamil; metoprolol; electronic prescription system; eMeds; pharmacist review; discharge summary
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RecommendedDecision of Deputy State Coroner HuntsmanCoronial law, missing persons, helicopter crash, pilot error, spatial disorientation, weather conditions
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RecommendedDecision of Deputy State Coroner RyanCORONIAL LAW - death of a child in the course of a police pursuit; should the police's covert investigation of the driver have been allowed to continue; was the planning for an intercept of the driver adequate; should police vehicles have
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RecommendedDecision of Deputy State Coroner LeeCORONIAL LAW - death in custody; cause and manner of death
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW - mother/child homicide/suicide; Borderline Personality Disorder/complex post-traumatic stress disorder; Alprazolam; child protection; adequacy of handover process between caseworkers
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RecommendedDecision of Deputy State Coroner ForbesCoronial law, missing person since 1958
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RecommendedDecision of Deputy State Coroner LeeCoronial law, care and treatment, Fairfield Hospital, left total knee replacement surgery, superior mesenteric artery tent, coeliac artery stent, vascular consult, pre-admission clinic, pre-operative care, medical clearance prior to surgery
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RecommendedDecision of Deputy State Coroner HuntsmanCoronial law, death in custody, cause of death is consistent with history of hanging, first time in custody and on remand, role of Justice Health and Forensic Mental Health Network