321
Total cases
77%
Preventable or possibly preventable
75%
With coroner recommendations
41%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
42y · Female·Multiple drug toxicity, with aspiration of vomit also contributing
Ms UL, a 42-year-old woman, died on 16 July 2022 from multiple drug toxicity at her residence in Ainslie, ACT. Post-mortem toxicological analysis revealed lethal concentrations of methadone, morphine, and codeine, along …
50y · Male·Unascertained
Ivan Spudic, 50, was a long-term heroin user receiving methadone maintenance at the New Beginnings clinic. He had HIV (well-controlled), liver cirrhosis, and multiple mental health conditions. Found deceased at home in T…
33y · Female·Combined drug toxicity (heroin, benzodiazepines, methylamphetamine, mirtazapine,…
BP, a 33-year-old female with longstanding opioid and polysubstance use disorder, died from accidental heroin overdose at home with concomitant CNS depressants (benzodiazepines, mirtazapine, promethazine) and stimulant (…
34y · Male·Multiple gunshot wounds
James Michael Watson, aged 34, died from multiple gunshot wounds sustained during a police altercation outside the Greek Club in South Brisbane on 11 October 2022. He had long-standing mental health issues and polysubsta…
Male·toxicity caused by a combination of methylamphetamine and morphine
Felipe Esteban Alvarez died on 30 March 2021 from toxicity caused by methylamphetamine and morphine (heroin) ingestion at his unit in Taylor, ACT. He collapsed after self-injecting heroin in the presence of others, inclu…
37y · Male·Multiple injuries sustained in a train incident
A 37-year-old Aboriginal man with chronic opioid use disorder and co-occurring mental health issues presented to Royal Melbourne Hospital's Mental Health, Alcohol and Other Drugs Hub after being found slumped in Melbourn…