Coroner considers recommendations from inquest into far north Qld patient deaths

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By Kirsty Nancarrow

An inquest into the death of three patients within the Cairns and Hinterland Hospital and Health Service district has heard some recommendations have already been implemented.

The inquest has heard evidence about the perceived failures in diagnosis and communication that led to the 2012 deaths of Graeme Gulliver at the Mossman Hospital, Joanne Harrison at the Cairns Hospital and Aileen Morten at the Atherton Hospital.

Mr Gulliver, 21, died from leptospirosis-related complications in March 2012, two days after he had presented to the emergency department and was sent home.

Counsel assisting the coroner Kerri Mellifont argued that decision may have contributed to Mr Gulliver’s death.

She made 10 recommendations, including the need for ongoing intensive education of medical staff.

Lawyers representing Mr Gulliver’s family and the nurses involved told the inquest they supported the recommendations.

Coroner Jane Bentley is considering the recommendations and an additional recommendation on behalf of several nurses for the appointment of a dedicated triage position at the Mossman Hospital.

A lawyer for the health service said authorities would be willing to issue a statewide patient communique to share the guidance from two expert witnesses about taking action when patients started coughing up blood.

Ms Bentley granted leave for the experts’ reports and transcripts of evidence to be made available and has reserved her findings.

Outside the court, Mr Gulliver’s father, Gary Elliot, said he appreciated the input of those who gave evidence at the inquest.