197
Total cases
83%
Preventable or possibly preventable
89%
With coroner recommendations
63%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
<1y · Female·Sudden unexpected death of a small for gestational age infant (SUDI), accidental…
A 3-day-old Aboriginal newborn died from accidental asphyxiation while co-sleeping with her exhausted mother in a hospital bed following emergency Caesarean section. The infant was small for gestational age with birth-re…
<1y · Male·Hypoxic-ischaemic encephalopathy caused by sudden and profound fetal bradycardia
Hugo Alexander McGregor was born on 11 March 2023 following emergency caesarean section at Mackay Base Hospital after sudden fetal bradycardia during labour. His mother's labour was induced with Syntocinon at 15:00 hours…
<1y · Female·Hypoxic ischaemic encephalopathy caused by respiratory failure following severe …
Baby Wren Marion Preo, born at term after precipitate labour at Atherton Hospital in Queensland, died at approximately 8 hours of age from hypoxic ischaemic encephalopathy secondary to severe meconium aspiration that occ…
Female·Meconium aspiration syndrome
Baby M was born at home via unattended free birth after her mother had previously undergone caesarean section. The mother experienced rupture of membranes one day before labour and was at 42 weeks gestation, both risk fa…
<1y · Female·Transposition of the Great Arteries
Thea Flaskett was born at Redcliffe Hospital on 11 September 2023 with undiagnosed transposition of the great arteries (TGA), a critical congenital heart defect requiring urgent diagnosis and specialist intervention. She…
<1y · Male·traumatic head injury due to instrumental vaginal delivery of a term infant
Baby H died on 24 March 2019, one day after birth, from traumatic head injuries sustained during an instrumental vaginal delivery using Neville Barnes forceps on a baby in occipito-posterior position. Critical clinical l…