737
Total cases
36%
Preventable or possibly preventable
42%
With coroner recommendations
24%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
69y · Female·Urosepsis secondary to anuric acute renal failure and corona radiata infarct; co…
A 69-year-old diabetic woman presented to Maroondah Hospital Emergency Department on 9 June 2024 with severe right-sided abdominal pain and vomiting. CT imaging at 10:00am confirmed emphysematous pyelitis (gas-forming ki…
71y · Female·Cardiogenic shock due to sudden cardiac event, with scleroderma as contributing …
Pamela Dorothy Otway, aged 71 years, with significant intellectual disability from childhood and residing in Specialist Disability Accommodation, died of cardiogenic shock and ventricular standstill following a sudden ca…
78y · Female·Hypernatraemia in the setting of lowered oral intake
Kerrie Berlowitz, 78, with cerebral palsy and intellectual disability, died of hypernatraemia (severe sodium elevation) due to dehydration. Living in supported disability accommodation in Carrum, she progressively refuse…
65y · Female·Bronchopneumonia and rhinovirus infection in a woman with cerebral palsy and epi…
Lynn Maree Sturgess, aged 65, a long-term resident of supported disability accommodation with cerebral palsy and well-controlled epilepsy, was admitted to Bendigo Hospital with febrile illness in May 2025. She was diagno…
38y · Female·Pulmonary thromboembolism secondary to deep venous thrombosis due to promethazin…
Elizabeth Jean Hanlon, aged 38, died from pulmonary thromboembolism secondary to deep venous thrombosis following a promethazine overdose. She had complex mental health diagnoses including borderline personality disorder…
59y · Male·Pneumonia in a man with cerebral palsy, asthma and epilepsy
Alfred Johann Faltermaier, a 59-year-old man with cerebral palsy, intellectual disability, asthma, and epilepsy, died from pneumonia with sepsis and multiorgan failure on 8 May 2025. Living in supported disability accomm…