%0 Journal Article %T "Simply put: systems failed": lessons from the Coroner's inquest into the rheumatic heart disease Doomadgee cluster. %A Tarrago Wangkamahdla A %A Veit-Prince E %A Brolan CE %J Med J Aust %V 221 %N 1 %D 2024 07 1 %M 38946639 %F 12.776 %R 10.5694/mja2.52350