Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make an application (PDF, 112.1 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

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Showing results 441 - 450 of 980 results

Inquest into the death of Mahmoud ALLAM (8.7 MB,PDF File)

Decision of Deputy State Coroner Magistrate Derek Lee

CORONIAL LAW; death in custody; Parklea Correctional Centre; methicillin-resistant Staphylococcus aureus; observations; antibiotic therapy; Therapeutic Guideli

Inquest into the death of Tory GANDERTON (7.0 MB,PDF File)

Decision of Deputy State Coroner Magistrate Derek Lee

CORONIAL LAW; spinal muscular atrophy; Shoalhaven District Memorial Hospital; Newborn and Paediatric Emergency Transport Service; handover; end of life planning

Inquest into the death of Esteban FRANCO-GARCES (455.5 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - hospital death of a two month old boy - delayed recognition of sepsis - inadequacy of senior doctor overview - inadequate handover - prolonged a

Inquest into the death of Christina BURGESS (190.7 KB,PDF File)

Decision of Deputy State Coroner Magistrate Elizabeth Ryan

CORONIAL LAW – person found deceased – can cause and manner of death be established?

Inquest into the death of Paul MORTIMER (333.0 KB,PDF File)

Decision of Deputy State Coroner Magistrate Elizabeth Ryan

CORONIAL LAW – death of patient following colorectal surgery – was discharge planning and post discharge care appropriate - did retained surgical sponge cause

Inquest into the death of Scott CAYIRYLIS (280.7 KB,PDF File)

Decision of Deputy State Coroner Magistrate Elizabeth Ryan

CORONIAL LAW; death of a man while awaiting ambulance; ambulance dispatcher downgraded response code; ambulance not allocated until police arrived at scene; NS

Inquest into the death of Hazel BROCKETT (749.7 KB,PDF File)

Decision of Deputy State Coroner Magistrate Stone

CORONIAL LAW – Manner of death – Residential Aged Care Facility – Resident to Resident Aggression in dementia unit – policies and procedures – identifying caus

Inquest into the death of Peter ROBIN (5.0 MB,PDF File)

Decision of Deputy State Coroner Magistrate Derek Lee

CORONIAL LAW; deep vein thrombosis; pulmonary embolism; preoperative assessment; venous thromboembolism prophylaxis; venous thromboembolism risk assessment; or

Inquest into the death of Eric WHITTAKER (546.8 KB,PDF File)

Decision of State Coroner Magistrate Teresa O’Sullivan

CORONIAL LAW – Cause and manner of death Death in custody – Parklea Correctional Centre – Ruptured Cerebral Artery Aneurysm – Subarachnoid Haemorrhage – Failur

Inquest into the death of GA (132.3 KB,PDF File)

Decision of Deputy State Coroner Magistrate Harriet Grahame

CORONIAL LAW

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