Doctor 1 A visiting surgeon who was given the okay from the relative of a patient to perform a mastectomy. The consent form was incomplete and referred to the incorrect operating site. The wrong breast was removed.
Doctors 2 and 3 Surgical registrars involved in the same operation that removed the wrong breast.
Doctor 4 A medical officer who made a medical note on an examination of a patient who had fallen out of a hospital bed. He failed to find a pelvic fracture identified in an x-ray the next day. A witness alleged that the doctor had not carried out the examination noted on the file.
Doctor 5 A visiting surgeon who, assisted by Doctor 2, did keyhole surgery to remove a gall bladder. The patient died five days later from abdominal poisoning. The condition had not been promptly diagnosed or treated.
Doctor 6 A visiting physician who discharged two patients, one of whom died before reaching home, the other within 24 hours of discharge.
Doctors 7 and 8 A visiting surgeon and an emergency medical officer caring for an elderly patient suffering from loss of circulation in one foot. The medical officer failed to diagnose the problem and the surgeon did not review the patient when the correct diagnosis was made by another doctor. Doctors 7 and 8 were also presented with another patient suffering from a perforated peptic ulcer. It was 12 hours before the patient was transferred to a more appropriate hospital. The patient died six days later.
Doctor 9 An emergency medical officer dealing with a patient who had attempted suicide. The patient was given a drug even though the medical notes warned that he was allergic to it.
Doctors 10 and 11 An anaesthetist and a visiting physician treating a patient with severe asthma. "Certain advice" was provided by the physician to the anaesthetist which was not followed. The anaesthetist administered certain drugs and the patient died four hours after admission.
Doctor 12 An emergency ward doctor who treated an "acutely unwell" patient. The patient suffered from low blood pressure and required resuscitation. The doctor did not contact the visiting medical officer promptly and did not resuscitate the patient, who died 12 hours later after being transferred to another hospital. The same doctor also failed to accurately diagnose a patient who died.
Doctor 13 An obstetrics and gynaecology registrar who treated a pregnant woman with a history of asthma. The specialist obstetrician was not summoned until four hours later.
Doctor 14 An emergency ward doctor dealing with a patient complaining of sharp pain. The doctor recommended to Doctor 6 that the patient be discharged 10 hours after arriving at the hospital. The patient died less than 16 hours later.
Doctor 15 An intensive care registrar dealing with an elderly patient. There was no record of discussions between the doctor and the patient or the patient's family concerning "end of life matters".
Doctor 16 A medical registrar who was involved with Doctor 15 in the treatment of a patient who arrived at the hospital at 4.30am and died seven hours later. For a long period following admission, neither prescribed antibiotics.
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