Deceased
Steven Basil Bradley
Demographics
65y, male
Date of death
2024-03-09
Finding date
2026-02-24
Cause of death
Acute on chronic subdural haematoma caused by accidental falls
AI-generated summary
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, a CT brain identified a pre-existing subacute subdural haematoma from a prior fall. Despite documented fall history, no falls assessment, mobility evaluation, or comprehensive care plan was completed during his two-week admission. No hourly overnight rounding occurred. The 6 March fall extended the pre-existing haematoma; he died 3 days later. While causation is uncertain given his significant comorbidities, the coroner found falls prevention measures were inadequate. The hospital has since implemented intentional rounding, improved falls risk recognition, and comprehensive care planning.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
Procedures
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