coroner
Propranolol implicated in teen death
A young woman circumvented GP and pharmacy measures to prevent stockpiling her beta blocker prescription—with lethal results An 18-year-old Queensland woman died from mixed drug toxicity involving “potentially fatal” exposure …
‘Missed opportunities’: Alerts ignored in leadup to woman’s death
Pharmacists expressed concerns over gabapentin scripts, but SafeScript red alerts were not properly checked by dispensers or prescribers, coroner finds Multiple pharmacies contacted a GP with concerns about a Victorian …
Human error, alarm fatigue contributed to insulin death
Multiple factors including use of EMRs found in coroner’s case involving a medication administration error that led to a woman’s death A coroner has called for changes to an electronic …
Unlawful use of VAD substance: an ‘isolated’ incident?
Governments should consider measures that reduce harms from private self‐administration following coroner’s case, say experts Health law researchers have recommended consideration of measures to reduce harms associated with private self‐administration …
Pharmacist could have flagged dosing error: report
Human error was behind an incorrect dose that played role in a man’s death—but an ED pharmacist and e-prescribing system could have picked it up, coroner finds An “inappropriate and …
‘Tragedy’ after VAD spouse death
Coroner slams voluntary assisted dying self-administration laws that led to the death of a VAD patient’s spouse from ‘the most dangerous of pharmaceutical products’ The death of a VAD patient’s …
mRNA death to be investigated by coroner
Existing warning about myocarditis to be strengthened after first official Australian death from an mRNA jab The TGA convened an external expert group after a young woman in her 20s …
Medication errors: learning from coroners’ cases
How can pharmacists learn from incidents such as the deaths of a 19-year-old who received a 10-fold dose of haloperidol, or an opiate-naïve woman from fentanyl overdose? Reviewing the circumstances …
Designer drug deaths prompt urgent call
Coroner issues recommendations for drug checking and early warning systems after five young men died from ingesting dangerous psychoactive substances A Victorian coroner has recommended that the state government implement …
Clozapine implicated in accidental deaths
More than half of fatal drug poisonings involving the antipsychotic clozapine are unintentional, according to new research based on Australian coronial data Among fatal drug poisonings reported in Australia over …
Over 100 regulatory breaches uncovered
A coroner has criticised the excessive supply of S8s and codeine that led to a woman’s death The death of a Tasmanian woman from mixed drug toxicity has been investigated …
‘Missed opportunity’ to detect accidental overdose danger
A coroner has made AHPRA notifications about two health practitioners after a young woman unexpectedly died the day after her methadone dose was bumped up The Victorian woman, who was …