78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…
…ther resident (Mr A) on 4 September 2018 and fell backward onto her right hip, sustaining an osteoporotic fracture of the neck of femur. Despite physiotherapy recommendations that she wear hip protectors 24/7, she was no…
76y · Male·hospital-acquired pneumonia, age-related frailty, consequences of left neck of f…
… Bruce Whish-Wilson, 76, sustained a fall in his aged care room in January 2024, leading to a right femoral neck fracture requiring surgical repair. Post-operatively, he developed hospital-acquired pneumonia complicated …
67y · Female·bronchopneumonia and acute liver failure on a background of liver cirrhosis and …
… failure. She was in custody at Bandyup Women's Prison when she fell on 2 June 2016, fracturing her femoral neck. During her 15-month incarceration, several clinical management gaps were identified: no formal falls risk …
84y · Female·pneumonia and fracture of the neck of right femur following a fall
Mrs Bell, aged 84, died from pneumonia and a fractured right femoral neck sustained in a fall at a residential aged care facility. She had advanced Alzheimer's…
76y · Female·Complications of head and neck injuries sustained in a fall
…inson's disease, suffered an unwitnessed fall at Embracia nursing home on 30 July 2012, sustaining head and neck injuries including acute subdural haematoma. The initial assessment by an Enrolled Nurse (Ms Della Gatta) w…
99y · Male·Pneumonia
A 99-year-old man with cognitive decline sustained a hip fracture from a fall and subsequently underwent surgery with informed consent. He suffered cardiopulmonary arrest …
94y · Female·Complications of a fractured neck of femur sustained in an unwitnessed in-hospit…
A 94-year-old woman with significant cardiopulmonary comorbidities died from complications of a fractured femur sustained in an unwitnessed hospital fall. Despite identification as high falls risk and implement…
86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …
…d an unwitnessed fall at her aged care facility. Initial assessment failed to identify pubic rami and hip fractures. Post-fall documentation was insufficient, delaying proper clinical assessment. Pain management was subo…
59y · Female·Multiple drug toxicity (propoxyphene, citalopram, oxazepam and others)
Mrs DA, aged 59, died from multiple drug toxicity (propoxyphene, citalopram, oxazepam and others) in March 2014. She had suffered a severe stroke in 2006 with resultant significant disability, chronic pain, and subsequen…
92y · Male·Consequences of accidental fall at RACF: post-operative delirium, left femoral i…
A 92-year-old man resident in an aged care facility sustained an unwitnessed fall resulting in left hip fracture, requiring surgical fixation. He developed post-operative delirium and died 8 days later. The coroner ide…
91y · Female·Pelvic haematoma complicating a fracture of the neck of the left femur
Mrs Fowler, a 91-year-old woman with dementia, poor hearing, and documented high fall risk, was admitted to Royal Hobart Hospital after a home fall. She fell from her hospital bed on 4 December 2015, fracturing her hip a…
86y · Female·Sepsis complicating sacral decubitus ulceration in the setting of recent surgica…
…h multiple comorbidities, was discharged from hospital to a supported residential service (SRS) after hip fracture surgery. She required two-person assistance for mobility and was immobile. A sacral pressure injury devel…
62y · Male·Septic arthritis complicating left knee joint prosthesis in the setting of statu…
… given he was already on antibiotics with negative blood cultures. The team also failed to diagnose a hip fracture after he fell from his bed. Intellectual disability and delirium complicated assessment, but the coroner …
88y · Female·Head injury in a fall due to atrial fibrillation on anti-coagulants
An 88-year-old woman with atrial fibrillation on anticoagulation died from a subdural haemorrhage sustained in a fall at a rehabilitation hospital. She was assisted to the toilet by a single nursing student despite a doc…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.