560
Total cases
74%
Preventable or possibly preventable
82%
With coroner recommendations
53%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
<1y · Male·unascertained
JB, an 8-week-old infant, died unexpectedly at home on 8 April 2022. No definitive cause of death could be determined despite comprehensive autopsy investigations and medical review. Concerning findings included multiple…
<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…
8y · Female·lymphocytic myocarditis
Amrita Varshini Lanka, aged 8, presented on 29 April 2022 to Monash Medical Centre Emergency Department with abdominal pain, fever and vomiting. Initial investigations ruled out appendicitis; gastroenteritis was diagnose…
2y · Female·Sepsis, caused by an aggressive bacterial infection on a background of Group A S…
Pippa Mae White, aged 2 years 10 months, died from sepsis caused by Group A Streptococcus infection. The coroner found her death wholly preventable. Critical clinical lessons: failure to activate the Paediatric Sepsis Pa…
<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 · Male·Head injuries
An 8-week-old boy died from head injuries caused by non-accidental trauma inflicted by his father, who admitted to shaking the infant in frustration during nighttime feeding. The coronial investigation identified multipl…