coroner’s court
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 …
Mandatory pharmacy discharge review suggested
A pre-discharge pharmacy review could have led to a different outcome for a man who died of haemorrhagic stroke, a coroner’s court has heard Deputy State Coroner Jacqui Hawkins made …
Pharmacist’s script warning overlooked
A pharmacist’s caution about two concurrently prescribed medicines went unnoticed in a woman who died, with an inquest exploring what role the error may have played in her death A …
Responsibility on GP, not pharmacists
Acting chief pharmacist criticises GP’s lack of sufficient assessment of a “high-risk and potentially dangerous” prescribing regimen to a woman who died A GP should have exercised more caution in …
‘Pregabalin is not a harmless drug.’
A pharmacist tried to warn a GP that his patient was a known “doctor shopper” – but the man still obtained large amounts of pregabalin and diazepam, and subsequently died …
Surge in deaths linked to pregabalin
Pharmaceuticals contributed to more than three-quarters of deaths last year, but SafeScript may have helped reduce methadone deaths, new coroner’s report reveals Overdose rates in Victoria have gradually increased over …
The mysterious case of baclofen toxicity
Coroner investigates a woman’s rare and inadvertent death from off-label use of baclofen This story contains details that may distress some readers. Caution is advised. A Victorian Coroner has attributed …
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 …
20mg instead of 2mg of hydromorphone
A coroner has criticised the “shocking lack of attention” that led to a man receiving 10 times the prescribed amount of hydromorphone Medication errors have been highlighted in recent coroner’s …
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 …
Diverted methadone implicated in another death
Multiple coroners have made recommendations for tightened access to unsupervised dosing and better education on storage, with further investigation encouraged in latest case A 71-year-old Victorian woman died in early …
Coroner expresses concern over man’s overdose death
The GP who prescribed methadone to a Tasmanian man was found to have breached the Poisons Act on 35 occasions A 51-year-old Tasmanian man died from acute methadone toxicity in …