564
Total cases
42%
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.
62y · Male·Alzheimer's disease
Stewart Barclay, a 62-year-old man with Alzheimer's disease diagnosed in 2015, died from natural causes at McCulloch House palliative care unit on 16 November 2025. He had been living in NDIS-funded disability accommodat…
53y · Female·Pneumonia and septic arthritis on a background of atypical parkinsonian syndrome
A 53-year-old woman with intellectual disability, schizoaffective disorder and progressive neurological decline presented to hospital with fevers and was extensively investigated over four months for septic arthritis and…
65y · Male·Strychnine toxicity
Christopher Griffin, aged 65, died from strychnine poisoning at his home in South Australia. He had experienced progressive cognitive decline over five years (suspected Lewy Body or semantic dementia, though neuropatholo…
50y · Female·Complications of Huntington's Disease; secondary cause: Pelvic fracture
Glenda Jean Brown, age 50, died from complications of Huntington's Disease at Eastern Health Palliative Care Unit, Wantirna on 3 January 2025. She had lived with Huntington's Disease since 2012 (formally diagnosed 2016) …
50y · Male·Middle and anterior cerebral artery infarct
Warrick Francis O'Donnell, 50, a resident of Specialist Disability Accommodation managed by Scope Australia in Coburg, was found less responsive on 4 July 2026 at his residential facility. Ambulance Victoria transported …
67y · Female·Aspiration pneumonia in a woman with advanced multiple sclerosis
Julie Jane Lambert, a 67-year-old woman with advanced multiple sclerosis, died from aspiration pneumonia at Sandringham Hospital on 8 December 2024. She had been residing in a specialist disability accommodation (SDA) as…