Inquest into the death of Paul Harris

Case Number: 2019/326190 

Date of Findings: 13 January 2026 

Magistrate: Deputy State Coroner, Magistrate Rebecca Hosking

Catchwords: Coronial inquest, death in hospital (not anticipated); risks of diagnosis on a ‘most likely’ basis, when to consider transfer of patients from a regional facility where diagnosis of pulmonary embolism cannot be confirmed. 

Responses

Recommendations

To the Murrumbidgee Local Health District:

1. That the Murrumbidgee Local Health District give consideration to providing training to all staff (including  Visiting Medical Officers (VMOs) and nursing staff) to ensure that relationships between Hay Hospital and other hospitals within the Murrumbidgee Local Health District are strengthened.