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Coroners Court New South Wales
Coronial findings and recommendations
To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.
Showing 11-20 of 96 results
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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 RyanCORONIAL LAW – death of inmate at Long Bay Hospital – natural causes death – care and treatment appropriate.
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RecommendedDecision of Deputy State Coroner GrahameCORONIAL LAW – suicide of 15-year-old First Nations boy in out-of-home-care; out-of-home care for First Nations children; out-of-home care involving interstate relocation of child; cultural safety of out-of-home care for First Nations children;
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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 KennedyCORONIAL LAW – missing person, triangulation, adequacy of search, compliance with NSW Police Force Standard Operating Procedures – Missing Persons, Unidentified Bodies andamp; Human Remains, communication with family and friends in missing person
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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 referral to
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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
Last updated:
05 Apr 2023
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