405
Total cases
66%
Preventable or possibly preventable
69%
With coroner recommendations
26%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
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 …
50y · Male·Unascertained
Ivan Spudic, 50, was a long-term heroin user receiving methadone maintenance at the New Beginnings clinic. He had HIV (well-controlled), liver cirrhosis, and multiple mental health conditions. Found deceased at home in T…
59y · Male·Multiorgan failure due to cardiorespiratory arrest of unknown aetiology (SCUBA d…
Robert Norvell Brown, 59, an experienced recreational scuba diver with over 500 dives, suffered acute cardiorespiratory arrest during a dive at the ex-HMAS Brisbane wreck site off the Sunshine Coast on 5 May 2023. While …
Multiple injuries sustained in a motor vehicle collision
On 20 January 2026, Ashley William Schultz (aged 49) and Jessica May Homewood (aged 39) died in a catastrophic head-on motor vehicle collision on the Peak Downs Highway near Nebo, Queensland. Ms. Homewood was driving a T…
60y · Female·Multiple blunt force injuries sustained in motor vehicle crash (pedestrian)
A 60-year-old Aboriginal female pedestrian was struck by a motor vehicle on the Stuart Highway in Darwin while attempting to access the Darwin Sobering Up Shelter. She was acutely intoxicated (BAC 0.18%) and positioned i…
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…