‘Total disbelief’: Unnecessary medical test killed Carmel Haynes

Carmel Haynes gave her son a peck on the cheek and promised she’d see him soon before she vanished down a corridor at Orange Hospital.

“The doctor explained to her that she’ll be conscious the whole time,” Matthew recalled. “And to signal with her hand if she felt uncomfortable.” after a mandatory falls risk assessment was not carried out, the death of a woman with a torn oesophagus following elective surgery and the death of a man with fatally high potassium levels after hospital staff did not act on abnormal pathology results.investigation, recommended a new Ombudsman be created with powers to independently investigate preventable deaths.

“The root cause analysis is performed by people employed by the local health district which is responsible for this thing happening in the first place,” she said.A spokesman for the Western NSW Local Health District described Carmel Haynes’ death as a devastating event and offered condolences to her family.“Health services in NSW are subject to stringent requirements to review and act when serious, unexpected patient outcomes are experienced.

Orange Health Service’s cancer services team arranged a biopsy via ultrasound on January 25, which confirmed a diagnosis of lung cancer. It recommended systems improvements so that previous results were obvious to parties booking biopsies. Matthew Haynes said: “It went from everything’s got to be done by the book, to the book is closed and here’s your mum.”

Clinicians also told the reviewers that the medical imaging department was understaffed, and that while two clinicians were present for Carmel’s procedure, that was not always the case. “Mum should have been able to go on her own terms and if the treatment wasn’t working, then that’s a decision that mum could have made herself,” he said. “She didn’t get that chance.”

She described it as scandalous that NSW’s expenditure on coronial services was $6.9 million in 2019/2020, compared with $21.5 million in Victoria and $12.4 million in Queensland, according to a productivity commission report.

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