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 11-20 of 92 results
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – death in custody, 911 tool, corrective officer training in response to hanging,
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RecommendedDecision of Deputy State Coroner LEECORONIAL LAW – cause and manner of death, ruptured aneurysm, subarachnoid haemorrhage, undiagnosed hypertension, administration of aspirin, Adult Nurse Initiated Medication Protocols
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RecommendedDecision of Deputy State Coroner ForbesCORONIAL LAW-death in custody, cause and manner of death-methadone toxicity-Justice Health-opioid substitution therapy
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RecommendedDecision of Deputy State Coroner StoneCORONIAL LAW – mandatory inquest – whether the assessment, care, and treatment of, and decision making of Regional Assessment Service and Aged Care Assessment Team staff was adequate and appropriate in the circumstances – whether a
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – missing person, triangulation, adequacy of search, compliance with NSW Police Force Standard Operating Procedures – Missing Persons, Unidentified Bodies & Human Remains, communication with family and friends in missing
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – methylamphetamine, drug addiction, emergency department presentation of an ice affected patient seeking help, result of physical restraint on an individual on ice
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RecommendedDecision of Deputy State Coroner KennedyCORONIAL LAW – unexpected hospital death; Sugammadex; anaphylaxis; appendicectomy; acute appendicitis; Open Disclosure policy
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RecommendedDecision of Deputy State Coroner ForbesCORONIAL LAW-death in custody, cause and manner of death, intentionally self-inflicted
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW, provision of respite care, carer ratios, carer training, transport related death
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW, accidental death, respite care, voluntary out of home care (VOOHC), unsafe environment in VOOHC, Civic Disability Services
