531
Total cases
32%
Preventable or possibly preventable
37%
With coroner recommendations
19%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
74y · Male·Probable respiratory failure in a man with advanced motor neurone disease in the…
Philip McHardy, a 74-year-old man with advanced motor neurone disease (MND), died of respiratory failure on 13 July 2025 after a five-month hospital admission. He was dependent on non-invasive ventilation (NIV) for up to…
67y · Male·Complications of chronic obstructive pulmonary disease
A 67-year-old man with end-stage chronic obstructive pulmonary disease was serving a lengthy prison sentence in Corrective Services NSW custody at Long Bay Hospital's Aged Care and Rehabilitation Unit. In early October 2…
71y · Male·Multiple injuries sustained in motorcycle crash
Damian Brian Thompson, aged 71, crashed his motorcycle on a rural road in Tasmania during torrential rain, sustaining severe injuries to his left leg and left hand. He was transported to Launceston General Hospital where…
61y · Male·Pneumonia complicating Trisomy 21
Graham Peter Moore, a 61-year-old man with Down syndrome, epilepsy, and early-onset dementia living in residential care, died of pneumonia on 8 December 2025. He developed community-acquired pneumonia in late November, w…
61y · Male·Natural causes unascertained
David Evan Wild, 61 years old, died of natural causes of unascertained origin while residing in specialist disability accommodation. He had frontal temporal dementia diagnosed in 2020 and required 24/7 care. He experienc…
60y · Male·Pulmonary tuberculosis in a man with chronic obstructive pulmonary disease, with…
David John Hatcher, aged 60, was a remand prisoner at Hakea who died at Fiona Stanley Hospital on 27 September 2024 from pulmonary tuberculosis superimposed on severe chronic obstructive pulmonary disease. He was hospita…