565
Total cases
43%
Preventable or possibly preventable
49%
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.
32y · Female·cerebral venous sinus thrombosis complicated by right intracerebral haemorrhage
Kate Sylvia, 32, presented on 2 December 2021 with severe headache, vomiting, and neurological symptoms including slurred speech. Paramedics transported her to Sefton Park intermediate care instead of hospital. Dr H. mis…
51y · Female·Chest sepsis in the setting of recurrent aspiration pneumonia, cerebral palsy, L…
Danielle Noonan, aged 51, died from chest sepsis secondary to recurrent aspiration pneumonia. She had severe disability including cerebral palsy, Lennox-Gastaut syndrome, spastic quadriplegia, and intellectual disability…
50y · Male·Cerebral haemorrhage (cause unknown)
Adam Donald Baker, a 50-year-old man with Christianson Syndrome (a genetic disorder causing intellectual disability and seizures), died from cerebral haemorrhage of unknown cause while residing in supported disability ac…
64y · Female·Alzheimer's dementia and epilepsy in the setting of trisomy 21
This is a case of natural death of a 64-year-old woman with Down syndrome (trisomy 21) who had Alzheimer's dementia and epilepsy. She lived in Specialist Disability Accommodation and received support services through the…
79y · Female·Non-convulsive status epilepticus on a background of urinary tract sepsis and pn…
Carol Fay Glascott, 79, with Down syndrome, intellectual disability, epilepsy, and Lewy body dementia, died from non-convulsive status epilepticus on a background of urinary tract sepsis and pneumonia. In September 2024,…
41y · Female·Aspiration pneumonia complicating an ischaemic stroke in a woman with epilepsy, …
Laura Claire Brady, aged 41, was a Specialist Disability Accommodation (SDA) resident with cerebral palsy, severe epilepsy, and intellectual disability. In December 2024, she deteriorated while in SDA care, presenting wi…