148
Total cases
32%
Preventable or possibly preventable
46%
With coroner recommendations
20%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
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 …
67y · Male·end-stage renal failure due to diabetic nephropathy, left lower-limb gangrene du…
This case involves a 67-year-old man with multiple serious chronic conditions (end-stage renal failure, peripheral vascular disease with gangrene, ischaemic heart disease) who presented to hospital after a fall causing s…
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…
59y · Female·Complications of end stage renal disease (Palliated)
Karin Jagusch, a 59-year-old woman with end-stage renal disease since 2020 and multiple chronic comorbidities including intellectual disability and chronic pain, was residing in NDIS-funded specialist disability accommod…
72y · Male·Complications of suspected upper gastrointestinal tract haemorrhage, hospital ac…
A 72-year-old man with metastatic squamous cell lung cancer and multiple serious comorbidities was admitted to Ballarat Hospital in July 2024 with lethargy, fatigue, and rapid atrial fibrillation. Due to medication chart…
70y · Male·Chronic kidney disease, with atherosclerotic cardiovascular disease and type 2 d…
Francis Lex Deemal, a 70-year-old Indigenous man from Hope Vale, Cape York, died at Mareeba Hospital on 2 August 2023 from chronic kidney disease, with atherosclerotic cardiovascular disease and type 2 diabetes as contri…