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Nurse Admits Deterioration Score Error in Inquest Into Post-Surgery Death of Rosemarie Campbell

The coroner is examining whether documentation failures affected the decision to send the patient home.

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Overview

  • Registered nurse Teresa Formiatti told the inquest she wrongly recorded a Q‑ADDS score of 0, later assessed as 2 in the morning and 1 at discharge.
  • Formiatti said vomiting after abdominal surgery was not unusual, described Ms Campbell’s observations as clinically stable, and noted the patient wanted to leave.
  • Nurses phoned surgeon Dr Vahid Reza Adib about ongoing nausea and vomiting, he prescribed another anti‑nausea medication and approved discharge, and other vital signs were not relayed to him.
  • Forensic pathologist Dr Isaac Han revised his earlier view, saying the autopsy did not show bacteria moving from the bowel into the bloodstream to prove sepsis.
  • Dr Adib acknowledged documentation shortcomings, including missing post‑operative notes and an inaccurate templated letter, as the coroner reviews the decision to offer a second operation and to discharge during Brisbane flooding conditions.