392
Total cases
52%
Preventable or possibly preventable
61%
With coroner recommendations
28%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
67y · Male·glioblastoma of the central brain
Russell Longmore, a 67-year-old Aboriginal man with schizophrenia on involuntary mental health treatment, was hospitalized in February 2025 after a fall that revealed a malignant brain tumour (glioblastoma). When neurosu…
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…
75y · Female·Acute subdural haematoma secondary to blunt force head trauma
A 75-year-old female nursing home resident fell with head strike on 9 January 2026 at 16:45. Ambulance was called at 17:05 (Priority 2) and upgraded to Priority 1 at 17:47 when she became less responsive. The response wa…
63y · Female·1a: Aspiration pneumonia in a woman with acquired brain injury, 1b: Cerebrovascu…
Susan Czudar, 63, died of aspiration pneumonia complicated by acquired brain injury from a 2017 subarachnoid haemorrhage and multiple strokes. Residing in NDIS-funded specialist disability accommodation, she was admitted…
14y · Female·unascertained natural causes – possibly encephalitis leading to seizure or sudde…
SMS, a 14-year-old previously healthy girl, collapsed unexpectedly at home on 10 October 2021 and was found unresponsive and not breathing. Immediate resuscitation was commenced by family members and emergency services, …
21y · Male·Cerebral temporal lobe uncal and cerebellar tonsillar herniation
Brady Hubbard, 21, died from traumatic brain injury with cerebral herniation after falling from an unsecured utility vehicle driven by Andrew Hilfenhaus at West Ulverstone Football Club in June 2023. While riding on the …