Deceased
Nancy Muriel Hazell
Demographics
100y, female
Date of death
2022-06-30
Finding date
2023-04-03
Cause of death
frailty and fracture of the right neck of femur
AI-generated summary
Nancy Muriel Hazell, aged 100, was a long-term resident of an aged care facility with appropriate falls prevention measures in place including bed/chair sensors, call bells, and physiotherapy. She sustained an unwitnessed fall from her armchair on 25 June 2022, fracturing her right neck of femur. Despite orthopaedic surgery, her condition declined post-operatively and she died on 30 June 2022 from frailty and the hip fracture. The coroner identified that her chair sensor did not activate before the fall, which might have allowed staff intervention to prevent it. The facility had no explanation for the sensor failure. The key clinical lesson is ensuring that safety equipment in aged care is regularly tested and maintained to function reliably, as equipment failure can eliminate critical protective measures for vulnerable elderly residents at high fall risk.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Clinical conditions
Procedures
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86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …
An 86-year-old woman with advanced dementia and frailty suffered an unwitnessed fall at her aged care facility. Initial assessment failed to identify pubic rami and hip fractures. Post-fall documentation was insufficient…
74y · Male·Acute myocardial infarction complicated by multiple organ failure
Ronald William Beaumont, 74, died from acute myocardial infarction complicated by multiple organ failure following a second shoulder washout procedure. Key clinical lessons: (1) Despite inadvertent withholding of dual an…
Source and disclaimer
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