Serious harm following resident safety failures in aged care facility 22HDC02310, 29 September 2025 Lack of coordinated care contributing to prolonged high steroid dose and patient deterioration 21HDC02088, 29 September 2025 Systems failed to support adequate consent process for hernia repair surgery 20HDC01893, 29 September 2025 Inappropriate and unprofessional interaction with disabled consumer 24HDC01772, 22 September 2025 Care home did not provide services with reasonable care and skill 21HDC00015, 22 September 2025 Teeth lost in accident reimplanted 24 hours later 21HDC01259, 15 September 2025 Failure to take patient history and consider differential diagnosis in treatment of man with persistent ear condition 21HDC01332, 15 September 2025 Systems failures led to delays in man receiving cancer care 22HDC01239, 15 September 2025 Pregnant woman with high BMI not referred to obstetrician 21HDC02225, 8 September 2025 Unacceptable delays in dispatch of an ambulance 21HDC00752, 8 September 2025 Provision of information to consumer about surgical team performing breast surgery 22HDC02421, 8 September 2025 Inadequate care provided during orthopaedic surgery causing unexpected treatment outcome 21HDC00219, 1 September 2025 Delayed diagnosis of prostate cancer due to lack of timely referral to a urologist 21HDC01686, 1 September 2025