Case Number: 2019/0330336
Date of Findings: 8 December 2022
Magistrate: Deputy State Coroner, Magistrate Elizabeth Ryan
Catchwords: CORONIAL LAW – death of child at Broken Hill Base Hospital – can cause of death be ascertained – was medical care and treatment adequate – were transfer decisions managed appropriately – recommendations
Responses
| Response | Status |
|---|
| The Sydney Children's Hospitals Network, MedSTAR, Women's and Children's Hospital Adelaide and Far West Local Health District | Received (PDF, 1.0 MB) |
Recommendations
To the Sydney Children's Hospitals Network (SCHN), MedSTAR, Women's and Children's Hospital Adelaide (WCHA) and Far West Local Health District (FWLHD):
- To the SCHN, NETS, MedSTAR, the Women’s and Children’s Hospital Adelaide and the Far West Local Health District:
A. In relation to urgent/critically ill paediatric patient retrieval from Broken Hill Base Hospital to WCHA, that a mutually agreed Guideline be settled between the parties as soon as possible, covering operational and clinical processes for paediatric patient retrieval, including clinical consultation, logistics, bed availability and communication requirements.
B. That the Guideline acknowledge the responsibility of NETS to remain involved and informed in the retrieval process, including up to the point where the relevant MedSTAR retrieval team collects the patient from Broken Hill Base Hospital. - To NETS and SCHN: That work continue on developing a secure method for exchanging a patient’s clinical information (including relevant imaging and traces) with involved receiving clinicians, consulting clinicians, and MedSTAR, through the E-referral form and any other appropriate mechanism.
- To SCHN, NETS and the Far West Local Health District: That the ‘Model of Care for Paediatric Patients in Far West LHD’ continues to be revised, including to incorporate guidance on the responsibilities and role of NETS medical and nurse consultants and any other matters of concern.
