The death of a woman in a hospital psychiatric ward followed "a string of cascading failures" by health staff that led to her over-sedation and inability to breathe effectively, a coroner has found.
Kumanjayi Brogus Ungwanaka, a 34-year-old mother diagnosed with schizophrenia, died in Alice Springs Hospital on November 22, 2023, just hours after being admitted after travelling from her remote community.