Systemic investigation reports

The Health Ombudsman conducts systemic investigations into health service providers and health service issues, making recommendations to improve patient safety and health service quality in Queensland.

A selection of these reports are available in the table below.

As legally required, we have removed all names and identifying factors of those involved.

Where we have made recommendations for change and improvement, we monitor and report on the implementation of these changes.

Report name (click on reports below for more information)	Date
Investigation report: Systemic investigation into the health care provided to Miss Sandy at Doomadgee Rural Hospital	02/05/2023
Investigation report: Systemic investigation into service provision at Gidgee Healing	02/05/2023
Investigation report: Review into the quality of health services provided by Bamaga Hospital	24/08/2020
Investigation report: Health Ombudsman releases report into Central Queensland maternity services	28/06/2019
Investigation report: Investigation into the quality of health services provided by Logan Hospital audiology department	10/07/2018
Investigation report: Quality of health services provided at Cairns Hospital	19/06/2018
Investigation report: Gold Coast University Hospital’s response to adverse maternity events	10/04/2018
Investigation report: Undoing the knots constraining medicine regulation in Queensland	24/11/2016
Investigation report: Gold Coast Hospital and Health Service radiology services October 2016	18/10/2016
Investigation report: Queensland Ambulance Service October 2016	18/10/2016
Investigation report: Royal Brisbane and Women’s Hospital October 2016	14/10/2016
Investigation report summary: Complaint about decision to grant credentialing privileges to a medical practitioner at a HHS October 2016	13/10/2016
Investigation report summary: Rockhampton Hospital October 2016	13/10/2016
Investigation report summary: Robina Hospital October 2016	13/10/2016
Investigation report: Friendly Society Private Hospital October 2016	12/10/2016
Investigation report: Beaumont Care Aged Care Services January 2016	19/01/2016
Investigation report: Beaudesert Hospital December 2015	21/12/2015
Investigation report: Gold Coast Hospital and Health Service September 2015	28/09/2015
Investigation report: Townsville Hospital and Health Service November 2014	13/02/2015