A coronor has called out shortcomings in the care of a teenager who died from a toe infection despite attending hospital four times in less than two days. She said there were also issues with his transfer once his condition was detected.
Hospital staff and the cross-border patient transfer process have been criticised by a coroner after an inquest into the death of Broken Hill teenager Alex Braes.Mr Braes' cause of death identified as multi-organ failure due to sepsis from a group A streptococcus infection
Deputy State Coroner Elizabeth Ryan delivered the inquest's findings in the Broken Hill courthouse on Monday. "A significant one was the failure on September 20, 2017, to perform vital signs observations," Ms Ryan said. Ms Ryan was also concerned that Mr Braes' retrieval and transfer out of Broken Hill Hospital was beset by numerous delays.
She recommended that, as matter of urgency, the health departments agree to continue discussions for formalising that arrangement and that the matter be escalated to the NSW Health Secretary if that was not in place within a year.
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