Deceased
Edward Robert Davis
Demographics
88y, male
Coroner
Coroner P. J. Morrison
Date of death
2016-12-18
Finding date
2018-02-28
Cause of death
left frontal lobe haemorrhage due to a fall
AI-generated summary
Mr Edward Davis, an 88-year-old man with epilepsy, stroke, dementia and on anticoagulation therapy, fell onto a Stand-Up Lifter positioned directly in front of him while waiting for a second staff member to operate it. His head struck the machine's arm support, causing a left frontal lobe haemorrhage from which he subsequently died. While the fall was accidental and staff conduct was appropriate, the coroner found the impact was potentially preventable because the lifter need not have been positioned in front of the patient before both operators were present. The case highlights a systemic risk in aged care equipment setup practices and inadequate facility response to safety concerns raised by the coroner.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
90y · Female·acute bronchopneumonia caused by Staphylococcus aureus
Ruth McKay, 90, died of acute bronchopneumonia after accessing the external courtyard of the Memory Support Unit (MSU) at an aged care facility undetected in the early morning of 17 January 2015. She was found under a st…
72y · Female·subdural haemorrhage sustained from a fall from a hospital bed on 18 January 201…
Mrs Judith Gaye Flynn, aged 72, died from a subdural haemorrhage sustained when she fell from a hospital bed on the General Medicine Ward at Canberra Hospital. She was a high-risk fall patient with cognitive impairment, …
94y · Male·blunt head and neck trauma with associated haemorrhage; neck trauma included fra…
Charles Rowan McCulloch, aged 94, died from blunt head and neck trauma sustained in an assault by another dementia resident in Jindalee Aged Care Residence, ACT. He was admitted on 20 January 2012 and found deceased on 2…
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