1,547
Total cases
57%
Preventable or possibly preventable
65%
With coroner recommendations
35%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
75y · Male·Complications of an out of hospital cardiac arrest secondary to anaphylaxis trig…
A 75-year-old man died from anaphylaxis triggered by self-administered peptide injections (CJC1295/Ipamorelin), which he was taking in excess of the prescribed dose. He injected a dose at home on 28 March 2025, collapsed…
45y · Male·Suicide by hanging
45-year-old Aboriginal man with schizophrenia presented to ED after wrist-cutting attempt. Police apprehended him and admitted as involuntary mental health patient under Form 9 requiring psychiatric assessment, but absco…
8y · Female·lymphocytic myocarditis
Amrita Varshini Lanka, aged 8, presented on 29 April 2022 to Monash Medical Centre Emergency Department with abdominal pain, fever and vomiting. Initial investigations ruled out appendicitis; gastroenteritis was diagnose…
37y · Male·Unascertained (natural causes)
WK was a 37-year-old man with complex disabilities including spina bifida, autism, and end-stage renal failure on hemodialysis. On 9 February 2026 he presented to ED with reduced urine output, vomiting, and inability to …
51y · Male·Hypoxic ischaemic brain injury due to cardiac arrest following acute upper airwa…
Gary James Norris, aged 51, with intellectual disability and epilepsy, died from hypoxic ischaemic brain injury due to cardiac arrest following airway obstruction by food. On 15 July 2023, while eating at a fast-food res…
58y · Female·Complications of stab wound to the chest
RFV, a 58-year-old woman on dialysis, was fatally stabbed in the chest by her daughter-in-law MHU during an argument about household expenses on 29 January 2021. MHU was experiencing severe family violence from her husba…