660
Total cases
45%
Preventable or possibly preventable
48%
With coroner recommendations
29%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
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…
77y · Male·Congestive cardiac failure with an antecedent cause of ischaemic cardiomyopathy …
Alan Frederick Cornish, aged 77, died in lawful custody at Long Bay Hospital on 1 September 2025 from congestive cardiac failure with ischaemic cardiomyopathy, complicated by chronic kidney disease, COPD, and type 2 diab…
82y · Male·Multiple injuries sustained in a motor vehicle incident (car vs. tree, driver)
An 82-year-old man with recently diagnosed emerging Alzheimer's disease presented to his GP with lower respiratory infection and mild confusion. The GP appropriately arranged hospital admission via family transport. Howe…
78y · Female·urinary tract infection and pneumonia on a background of facial fractures and de…
A 78-year-old woman with mixed dementia living in aged care suffered an unwitnessed fall on 22 March 2023, sustaining facial fractures and eye laceration. The fractures were not identified during her initial hospital ass…
89y · Male·Traumatic intracranial haemorrhage and skull fractures following a fall, on a ba…
Ronald Thomas Creek, aged 89 with dementia, fell at St Basil's Aegean Village aged care facility on 9 January 2023, striking his head on a doorframe despite wearing protective headgear. CT imaging showed traumatic intrac…
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…