402 results for “fall risk”
82y · Female·acute peritonitis, ruptured bowel and incarcerated bowel herniation
An 82-year-old woman admitted with bowel obstruction recovered well initially but suffered a preventable fall in the radiology department when left unattended with heavy IV pumps on her wheelchair, fracturing her hip.…
33y · Male·Injuries sustained in fall from height
Adrian Paul Gibb, a 33-year-old man, died from injuries sustained in a fall from a cliff at Buckleys Road, Allansford, Victoria. He had a history of chronic back pain, depression, ins…
85y · Male·aspiration pneumonia due to dysphagia in a man with multiple spinal fractures an…
…nical management at both hospitals was found appropriate. The coroner noted his son had advised staff about fall risk and suggested bed rails, but the patient had capacity to make decisions and was alert and independentl…
64y · Female·acute subdural haemorrhage sustained after a fall on Ward 4A
Margaret Winter, 64, died from acute subdural haemorrhage following a fall on Ward 4A on 13 December 2006. She had been admitted with decompensated liver disease. Her falls risk was …
49y · Male·complications of a cervical spine injury
…post-operatively and died on 15 October 2017 from complications of the spinal injury. The coroner found the fall was accidental and unwitnessed. Both physical and CCTV monitoring staff reasonably assumed McCann had chose…
76y · Female·Immersion (with underlying cause undetermined in circumstances of a fall into a …
… and wandering behaviour was found submerged in a courtyard water fountain at an aged care facility after a fall. She remained unattended in a hazardous area for approximately 51 minutes before discovery. The death was i…
85y · Female·Complications following a fall
An 85-year-old woman with dementia died from complications of a fall sustained when pushed by another resident with dementia at an aged care facility. The autopsy revealed skul…
82y · Male·closed head injury (subdural haematoma) sustained in a fall
An 82-year-old man on warfarin died from a subdural haematoma sustained in a fall at a rehabilitation centre. He fell while attempting to walk to the toilet unassisted after not being provi…
86y · Male·Cardiovascular disease in a man with subdural haemorrhage (in keeping with a fal…
…April 2008. The coroner found death resulted from natural causes—cardiovascular disease with a contributory fall causing subdural haemorrhage—with no evidence of inadequate custodial or clinical care. The case highlights…
76y · Male·Hypothermia and multiorgan failure complicating compound left tibia and fibula f…
…ypothermia and multiorgan failure following a compound fracture of the left tibia and fibula sustained in a fall at home. He was found unresponsive after welfare concerns were raised. The coroner identified that adequate…
84y · Male·Complications of large right subdural haematoma
…s absent obtaining equipment. The AIN had raised the bed to facilitate use of a patient lifter, contrary to falls prevention policy requiring low bed positioning. No crash mats were present. When discovered, the AIN move…
54y · Male·Klebsiella pneumoniae pneumonia in a man with Huntington's Disease, with contrib…
…ella pneumoniae pneumonia while residing in specialist disability accommodation. He had sustained a serious fall in January 2023 causing spinal fractures and rhabdomyolysis, after which he was discharged to supported acc…
54y · Male·Neck injuries sustained in a fall - fracture of the fifth cervical vertebra (car…
Wayne Myhill, aged 54, died from a cervical spine fracture (C5 level) sustained in a fall at his group home in Ararat, Victoria. He had cerebral palsy, intellectual disability, Lennox-Gastaut syndr…
53y · Male·Traumatic brain injury sustained from police use of force on 25 February 2016, t…
…rvened, concerned about rough handling, Constable Salau performed a 'crouch dive' push, causing Mr Banjo to fall backwards and strike his head on the road. The coroner found the use of force was appropriate but commented…
84y · Male·Head injury - left lateral convexity acute subdural haematoma with 2mm midline s…
…4-year-old man with Parkinson's disease and moderate dementia was admitted to a rehabilitation unit after a fall at an acute hospital. He had been assessed as high falls risk and required a patient sitter at the acute ho…
86y · Female·subdural haemorrhage due to or as a consequence of a fall
…SME, an 86-year-old resident at a Blue Care nursing home, suffered a fatal subdural haemorrhage following a fall from bed during a sponge bath on 18 January 2016. She died on 21 January 2016. Clinical lessons include: (1…
73y · Female·fractured neck of femur (operated) on a background of Alzheimer's dementia
Linda Eileen Saberton, aged 73, died from complications of a fractured neck of femur sustained in a fall at her aged care facility, on a background of advanced Alzheimer's dementia. She had suffered two hip fract…
87y · Female·Multiple injuries with ischaemic heart disease, antecedent cause being recent fa…
…through the window on 15 February 2010. This meant the night shift on 17 February was unaware of the escape risk. Staff should have immediately reported the first escape as a 'near miss', documented it on the running she…
40y · Male·Injuries sustained in a fall from height
Daniel McKindley, 40, died from injuries sustained in a fall from the 16-metre platform of Poppet Head Lookout tower in Bendigo. He had depression and anxiety treated b…
79y · Male·Displaced cervical vertebral fracture with secondary carotid artery dissection r…
A 79-year-old man suffered a catastrophic fall from a 3.5-metre ladder while performing home maintenance work on his property. He had recovered from a str…
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