Skip links and navigation

News & updates

Investigation reports

You can read about some of the investigations that have been undertaken by the Health Ombudsman. In accordance with the law, all names and identifying factors of those involved have been removed.


Investigation report – Undoing the knots constraining medicine regulation in Queensland

This report details the investigation undertaken by the Health Ombudsman into the appropriateness and effectiveness of the Queensland regulatory system for scheduled medicines as it applies to health services, in particular the prescribing and dispensing of schedule 8 medicines. The investigation commenced after a number of complaints displaying common trends were received by the Office of the Health Ombudsman relating to prescribing and dispensing of scheduled medicines.

Download the report


Investigation report Gold Coast Hospital and Health Service radiology services October 2016

This report details the investigation undertaken by the Health Ombudsman into the low reporting of radiology services at the Gold Coast Hospital and Health Service (HHS). The investigation commenced as an own-motion investigation as a result of the Health Ombudsman becoming aware of an investigation commissioned by the Department of Health Director-General following the discovery of a backlog of reporting of radiology results in the Gold Coast HHS due to a systemic failure.

Download the report


Investigation report Queensland Ambulance Service October 2016

This report details the investigation undertaken by the Health Ombudsman into the drug and complaint management protocols used by the Queensland Ambulance Service (QAS). The investigation commenced as a result of an invitation from the QAS to conduct a systemic investigation in order to review the steps taken by the QAS to address the areas of concern highlighted in a Department of Health internal audit of the QAS’s drug management practices and to advise on any future reporting that the QAS should undertake to satisfy the office that its procedures continue to ensure optimal patient safety.

Download the report


Investigation report Royal Brisbane and Women’s Hospital October 2016

The following matter was referred to the Health Ombudsman as part of the transitional process from the Health Quality and Complaints Commission (HQCC) following legislative changes on 1 July 2014. The complaint was made by the mother of a patient regarding the health service her son received from the Rockhampton Hospital and Royal Brisbane and Women’s Hospital (RBWH) from August to December 2013.

Download the report


Investigation report summary Rockhampton Hospital October 2016

This report outlines the investigation conducted by the Health Ombudsman into a complaint from a complainant about the standard of care that her father (the patient) received at Rockhampton Hospital between July 2013 and his death in August 2013.

Download the report


Page 1 of 3123