271
Total cases
44%
Preventable or possibly preventable
54%
With coroner recommendations
32%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
66y · Female·Complications of reduced oral intake in setting of cerebral palsy
Maree Joan Bermingham, 66 years old, died at Sale Hospital on 27 July 2025 from complications of reduced oral intake in the setting of cerebral palsy. She had resided in Specialist Disability Accommodation (SDA) care sin…
64y · Male·Peritonitis and ischaemic small bowel, with contributing factors of hypertensive…
A 64-year-old male with hypertension and smoking history presented to hospital with several weeks of abdominal pain, diarrhoea, and weight loss. Imaging revealed a superior mesenteric artery (SMA) occlusion deemed chroni…
67y · Male·Complications of chronic bowel obstruction; marked faecal loading in a man with …
Mark Ronald Blyth, aged 67, had severe intellectual disability with significant comorbidities including epilepsy, dysphagia, and chronic aspiration risk. He died from complications of chronic bowel obstruction with marke…
52y · Male·perforation of a hollow viscus complicating oesophageal cancer in a man with cer…
Adam Barry, a 52-year-old man with cerebral palsy, dysphagia, and epilepsy, was diagnosed with metastatic oesophageal cancer in February 2024 after presenting to hospital with vomiting. Living in Specialist Disability Ac…
66y · Female·Acute oesophagitis complicated by gastrointestinal haemorrhage
A 66-year-old woman with cerebral palsy, dysphagia, and chronic reflux oesophagitis presented with acute gastrointestinal bleeding while in supported disability accommodation. She was treated conservatively with IV proto…
64y · Female·Hepatocellular carcinoma
Susan McFarlane, 64, died on 29 July 2025 from hepatocellular carcinoma with cirrhosis as a contributing factor. She was an NDIS participant living in specialist disability accommodation with daily support. In June 2025,…