65
Total cases
80%
Preventable or possibly preventable
88%
With coroner recommendations
58%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
34y · Female·combined drug toxicity in combination with failure to conduct appropriate physic…
Kumanjayi, a 34-year-old Aboriginal woman with schizophrenia and chronic pulmonary disease, died in the mental health inpatient unit from combined drug toxicity and respiratory failure. She received 198% of the recommend…
70y · Female·Ruptured abdominal aortic aneurysm
Ms Honey was a 70-year-old woman admitted involuntarily to a mental health facility with acute psychosis. Six days before her death, an 8cm abdominal aortic aneurysm (AAA) was discovered incidentally on imaging, with vas…
47y · Male·Multiple blunt force injuries to the neck, chest and lower limbs sustained in a …
A 47-year-old male passenger died from multiple blunt force injuries (bilateral pneumothoraces, pulmonary contusions, ruptured spleen, pelvic fractures, cervical spine fracture with spinal cord haemorrhage) from a high-s…
<1y · Female·Transposition of the Great Arteries
Thea Flaskett was born at Redcliffe Hospital on 11 September 2023 with undiagnosed transposition of the great arteries (TGA), a critical congenital heart defect requiring urgent diagnosis and specialist intervention. She…
<1y · Male·traumatic head injury due to instrumental vaginal delivery of a term infant
Baby H died on 24 March 2019, one day after birth, from traumatic head injuries sustained during an instrumental vaginal delivery using Neville Barnes forceps on a baby in occipito-posterior position. Critical clinical l…
<1y · Female·Severe hypoxic ischemic encephalopathy due to brain injury from complicated assi…
Lucy Margaret Campbell died eight days after birth from severe hypoxic ischemic encephalopathy following complicated assisted vaginal birth at Ingham Hospital. Her mother had a low-risk pregnancy complicated by spontaneo…