381
Total cases
18%
Preventable or possibly preventable
32%
With coroner recommendations
12%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
64y · Male·Colonic adenocarcinoma and its treatment
Jeffrey Olsen, 64, died from acute capecitabine toxicity during adjuvant chemotherapy for Stage 3b colorectal cancer. Within three days of commencing treatment in September 2020, severe side effects including diarrhea, r…
37y · Female·sepsis secondary to rectosigmoid perforation on a background of metastatic squam…
Carmen Jayne Clancy, aged 37, died on 27 September 2022 from sepsis secondary to rectosigmoid perforation caused by metastatic cervical cancer. Incarcerated on home detention following a cancer diagnosis in 2021, she und…
93y · Male·Complications of invasive squamous cell carcinoma of the scalp
Donald Morley, aged 93, died at Claire Holland House hospice on 12 July 2024 while serving a nine-year sentence for murder. He was under 24/7 custodial supervision. The cause of death was complications of invasive squamo…
49y · Male·Diabetes Mellitus and the Consequences thereof
Mr Edward Curic (49) died at Long Bay Correctional Complex on 21 May 2022 from diabetes mellitus and complications. He had poorly controlled Type 2 diabetes for 30 years with severe complications including bilateral ampu…
71y · Male·metastatic papillary renal cell carcinoma
Robert Bell-Williams, aged 71, died from metastatic papillary renal cell carcinoma while in lawful custody at Long Bay Hospital on 1 February 2024. Imprisoned since 2012, he was diagnosed with renal cell carcinoma in 202…
56y · Male·complications of advanced metastatic sigmoid adenocarcinoma in an adult man with…
A 56-year-old Aboriginal man died of advanced metastatic sigmoid adenocarcinoma while serving an 11-year sentence for child sex offences. He had been diagnosed with Stage 4 colorectal cancer in 2018 with an expected life…