211 results for “falls risk”
77y · Female·intracranial haemorrhage (subdural, intraventricular and brainstem)
…med at Mersey Community Hospital despite the mechanism of injury and unconsciousness suggesting head trauma risk. Eight days later, she suffered a STEMI and received thrombolysis based on standard protocols. However, she…
34y · Male·undetermined; possible drowning or shark attack
…emergency protocols, and complacency about safety procedures must be challenged regardless of perceived low risk.
76y · Male·MULTIPLE INJURIES IN A TRAIN INCIDENT
…nt door and was struck by a train, sustaining fatal injuries. The RN admitting him documented his wandering risk only in a falls risk assessment rather than the care plan, and failed to implement safety measures includin…
68y · Female·Complications of a fall with contributing factors of respiratory failure, respir…
Irene Charlish, a 68-year-old woman with longstanding schizoaffective disorder and multiple comorbidities, fell at her residential facility on 6 June 2017, sustaining a pneumothorax and rib fracture. She was admitted to …
92y · Male·Ischaemic heart disease and cardiomegaly in the setting of a fall in a man with …
…ation and rostering failures at AQA that facilitated the circumstances of death. Key clinical lessons: high-risk patients with cardiac disease and mobility impairment require reliable supervision and care coordination; a…
25y · Male·Traumatic subarachnoid haemorrhage due to right intracranial internal carotid ar…
…deterrents like send-offs. The incident highlights that modern professional contact sports require rigorous risk management frameworks and that rule changes alone are insufficient without consistent enforcement.
23y · Female·Multiple injuries from a fall of approximately 30 metres from a cliff to rocks b…
…e Woolmer, a 23-year-old tourist, died after falling approximately 30 metres from a cliff ledge at Kestrel Falls in Kings Canyon while being guided by The Rock Tour Company. The tour guide had demonstrated and encourage…
28y · Male·multiple traumatic head injuries sustained in a fall from height
Kurt Gorrie, a 28-year-old experienced roof plumber, died from multiple traumatic head injuries after falling approximately 6 metres from an unmeshed roof section onto a concrete slab while working on an airport extensio…
55y · Male·Multiple injuries, in particular blunt force injuries to his pelvis and abdomen
…he machine and extended boom (6 metres). While the farm had comprehensive safety systems in place including risk assessments and daily inductions, there were gaps in preventing use of unsuitable equipment in marginal con…
88y · Female·Complications of a stage 3 sacral pressure ulcer in a woman with dementia
…sided at Crofton House Supported Residential Services (SRS), a low-level care facility. Following multiple falls and hospitalizations in late 2016, she was identified as high-risk for pressure ulcers and severely malnou…
Female·Pulmonary thromboembolism due to deep vein thrombosis following lower leg fractu…
Two women aged 48 and 59 presented to Shellharbour Hospital ED with lower leg fractures sustained in falls. Both were treated conservatively with immobilization (splint and plaster back slab) and discharged home w…
44y · Male·Multiple traumatic injuries sustained in a fall from height
Ashley Bryant, a 44-year-old former NSW police officer with 24 years service, died by suicide at Minyon Falls on 16 December 2013 while suffering from PTSD, depression and alcohol dependence. The coroner found these …
84y · Female·Positional asphyxia due to head and neck entrapment between mattress and bed pol…
… South Australia documenting similar entrapment deaths. Despite developing comprehensive policies requiring risk assessment and removal of bed poles, the facility failed to identify and remove Mrs Westcott's device over …
90y · Female·Intracerebral haemorrhage
Zenobia Enid Sweet, a 90-year-old woman with mild dementia, was admitted to Sir Charles Gairdner Hospital in April 2002 for surgical repair of a fractured femur. She was rehabilitating on Ward G51 (orthopaedics) with a g…
90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia
A 90-year-old woman with dementia, admitted to aged care in September 2012, developed a large necrotic sacral pressure ulcer despite nursing interventions. She was markedly dehydrated and malnourished, repeatedly refusin…
55y · Male·Hanging
…preventable, criticising the failure to remove personal items that could facilitate self-harm despite clear risk factors: recent suicide attempts, active suicidal ideation, heavy alcohol use, and compulsory detention sta…
0y · Male·Group B Streptococcal infection and meconium aspiration with early bronchopneumo…
…they did not recommend hospital transfer when PROM exceeded 18 hours, did not strongly advise transfer when risk factors were apparent, and did not escalate to medical consultation. Expert evidence indicated intravenous …
26y · Male·severe closed head injury associated with severe fractures of the cranial vault …
…e. Prison health assessments were based on incomplete information. Had Prison Health Service known the full risk profile, Gill would have been placed in high-security observation or infirmary, not the general population …
59y · Female·multiple injuries from fall from height
…st ensure immediate assessments occur when patients present with acute psychotic symptoms and elevated harm risk, not deferring for convenience or family preferences about police involvement; (2) Communication with conce…
86y · Male·coronary and cerebral atherosclerosis with significant conditions of fractured l…
Mr. Stanley Charles Anderson, aged 86, died at Gympie General Hospital from coronary and cerebral atherosclerosis, precipitated by injuries sustained in a fall at a nursing home. While transferring from a bath trolley to…
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