Deceased
Dennis Edward Wragg
Demographics
95y, male
Date of death
2023-11-02
Finding date
2024-07-03
Cause of death
Head injuries (subarachnoid haemorrhage, frontal bone fracture and contrecoup) sustained in an accidental fall
AI-generated summary
A 95-year-old man admitted to hospital for fluid overload and cellulitis related to heart failure fell in his hospital room on day 11 of admission whilst attempting to walk to the bathroom without his walker or assistance. He sustained multiple skull fractures with subarachnoid haemorrhage and died 11 days later. The coroner found nursing care was of very good standard and a mobility plan had been documented by physiotherapy. However, a formal Falls Assessment Management Plan was not prepared on admission, and a Falls Evaluation Team Review was not conducted post-fall, both contrary to hospital protocol. The coroner considered the fall likely impulsive and potentially non-preventable despite protocol adherence, but recommended regular staff education on the Falls Prevention and Management protocol.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
65y · Male·Acute on chronic subdural haematoma caused by accidental falls
Steven Basil Bradley, 65, died from acute on chronic subdural haematoma following an unwitnessed fall in hospital. He had metastatic prostate cancer, ischaemic heart disease, and diabetes. On admission for chest sepsis, …
72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis
Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods unabl…
58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…
Wayne Anthony Lowe, aged 58, died of multiorgan failure due to sepsis following repeated humeral fractures sustained in falls. He was admitted with a right proximal humeral fracture from an intoxicated fall, discharged a…
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