460
Total cases
65%
Preventable or possibly preventable
71%
With coroner recommendations
41%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
69y · Male·pneumonia complicating end stage liver cancer
Gregory Charles Shufflebotham, aged 69 years, died on 21 February 2026 from pneumonia complicating end-stage liver cancer. He had moderate intellectual disability and resided in a supported independent living facility in…
45y · Male·Suicide by hanging
45-year-old Aboriginal man with schizophrenia presented to ED after wrist-cutting attempt. Police apprehended him and admitted as involuntary mental health patient under Form 9 requiring psychiatric assessment, but absco…
90y · Female·Aspiration pneumonia secondary to choking, on a background of Alzheimer's dement…
Maria Kalompratsos, aged 90, died from aspiration pneumonia following a choking incident at St Basil's aged care facility. She had advanced Alzheimer's dementia with mild oropharyngeal dysphagia, appropriately managed th…
<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…
42y · Female·Multiple drug toxicity, with aspiration of vomit also contributing
Ms UL, a 42-year-old woman, died on 16 July 2022 from multiple drug toxicity at her residence in Ainslie, ACT. Post-mortem toxicological analysis revealed lethal concentrations of methadone, morphine, and codeine, along …
51y · Male·Hypoxic ischaemic brain injury due to cardiac arrest following acute upper airwa…
Gary James Norris, aged 51, with intellectual disability and epilepsy, died from hypoxic ischaemic brain injury due to cardiac arrest following airway obstruction by food. On 15 July 2023, while eating at a fast-food res…