ACT Emergency Services Agency Commissioner Dominic Lane extended his deepest sympathies to the family and friends of Ms Prime.
"It has been a very challenging time for them and we commend them for their patience as we've gone through this coronial review," he
said the clinician made what they thought was the right call at the time and that the Government and ACT Ambulance Service had undertaken two reviews since Ms Prime's death.
said 11 recommendations from those reviews were being implemented.
"The principal thing we're trying to do of course is avoid situations and repeats of the past," Mr Lane
"We're doing a number of things across our procedures within our communications centre, we're upgrading our technology and we're putting in additional checking processes to make sure we avoid situations where calls have to be changed.
"We're making sure that we give our communications team clinicians all the available information we can to help them make those difficult and challenging decisions."
said the community could be assured that the ACT ran one of the best ambulance services in the country.
"We'll continue to learn as we go through and continually improve our business wherever we can," he