Coroners Act In the matter of Coronial Findings and Recommendation into the Death of Ms Souzana Afianos pursuant to section 46B dated 1 January 2004
Tabled paper 1394
Tabled Papers for 9th Assembly 2001 - 2005; Tabled Papers; ParliamentNT
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expect that there would therefore exist facilities or options whereby a copy of the discharge summary could have been provided to Dr Treacy without much inconvenience. Dr Palmer confirmed that Dr Treacys private rooms, as with many of the consultants of the Hospital, are at Darwin Private Hospital, a short distance from the Royal Darwin Hospital. He conceded that Royal Darwin Hospital is probably placed better than any other Hospital in Australia in these circumstances by reason of the fact that there is only the one public hospital and the one private hospital in Darwin and they are in close proximity. Although Dr Palmer conceded that the Hospital might have provided a copy of the discharge summary to Dr Treacy, he attempted to explain away this failure with suggestions of likely problems with fax machines and delays through internal post. That is nonsense as far as I am concerned. Even Ms Sievers conceded that this could have been done and that Dr Treacy could have been conveniently notified that morning during handover. This highlights my criticism of Dr Palmers position. 99. Having regard to all the evidence, I now make my findings. Firstly the formal findings required by section 34(1) of the Coroners Act are as follows: 1. The identity of the Deceased was Souzana Afianos born on 12 September 1960 at Tennant Creek in the Northern Territory of Australia. 2. The time and place of death was at the Royal Darwin Hospital, Accident & Emergency Department on 21 February 2002 at approximately 7.20am. 3. The cause of death was secondary haemorrhage following gastric banding surgery. 4. The particulars required to register the death are: (a) The Deceased was a female. 42