2,632
Total cases
62%
Preventable or possibly preventable
67%
With coroner recommendations
40%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
37y · Female·morbid obesity with dilated cardiomyopathy and obstructive sleep apnoea
Ms UT, a 37-year-old woman with treatment-resistant schizophrenia, died of morbid obesity with dilated cardiomyopathy and obstructive sleep apnoea. She was prescribed clozapine, an effective but potentially cardiotoxic a…
34y · Male·Multiple gunshot wounds
James Michael Watson, aged 34, died from multiple gunshot wounds sustained during a police altercation outside the Greek Club in South Brisbane on 11 October 2022. He had long-standing mental health issues and polysubsta…
55y · Male·Unascertained natural causes
A 55-year-old man with chronic treatment-resistant schizophrenia died at Forensic Hospital while lawfully detained on 26 December 2024. He had presented to Prince of Wales Hospital on 17 December with chest pain, tachyca…
41y · Male·combined drug toxicity
Bradley Craig Buswell, 41, died from combined drug toxicity (olanzapine, mirtazapine, doxylamine) on 31 March 2025 at his home in Eaton. He had treatment-resistant schizophrenia with chronic psychotic symptoms including …
62y · Female·Complications of WHO Class III obesity in a woman with epilepsy
Margaret Mary Broderick, 62, with intellectual disability, autism, schizophrenia (managed on clozapine), epilepsy, and severe obesity (BMI 48.2), lived in specialist disability accommodation provided by Scope Australia i…
40y · Male·Carbon monoxide toxicity
Paul Shen Vun Wong, a 40-year-old man with treatment-resistant schizophrenia and schizoaffective disorder, died from carbon monoxide toxicity at his Rockingham home in April 2023 while subject to a Community Treatment Or…