Inquest into the death of Lesley ARNDELL Decision of Deputy State Coroner Ryan on 19 December 2019 CATCHWORDS; CORONIAL LAW – death of hospital patient from sepsis; was patient appropriately referred to private hospital; was there delay in surgery; was antibiotic treatment appropriate and timely; was management of patient\’s nutritional state appropriate; was there sufficient medical oversight of patient\’s condition; recommendations


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