69
Total cases
39%
Preventable or possibly preventable
41%
With coroner recommendations
23%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
50y · Female·Intracranial haemorrhage (left frontoparietal intraparenchymal haemorrhage with …
Janene Louise Weston, a 50-year-old woman with acquired brain injury from autoimmune encephalitis and history of multiple strokes, died at home in specialist disability accommodation from an intracranial haemorrhage. She…
70y · Male·Chronic kidney disease, with atherosclerotic cardiovascular disease and type 2 d…
Francis Lex Deemal, a 70-year-old Indigenous man from Hope Vale, Cape York, died at Mareeba Hospital on 2 August 2023 from chronic kidney disease, with atherosclerotic cardiovascular disease and type 2 diabetes as contri…
71y · Male·metastatic papillary renal cell carcinoma
Robert Bell-Williams, aged 71, died from metastatic papillary renal cell carcinoma while in lawful custody at Long Bay Hospital on 1 February 2024. Imprisoned since 2012, he was diagnosed with renal cell carcinoma in 202…
69y · Male·disseminated urothelial carcinoma of the bladder (palliated), bilateral lung ade…
A 69-year-old man died in prison custody from disseminated urothelial carcinoma of the bladder, bilateral lung adenocarcinoma, and severe emphysema. He had a significant smoking history and prior asbestos exposure. His l…
62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…
A 62-year-old man died from intraoperative haemorrhage during surgery for a renal tumour initially diagnosed as benign anastomosing haemangioma on biopsy but found at autopsy to be metastatic clear cell renal cell carcin…
65y · Male·metastatic prostate cancer complicated by deep vein thromboses
Peter Raymond Porter, aged 65, died in prison from metastatic prostate cancer complicated by deep vein thromboses in January 2022, eight and a half years after diagnosis. He had presented with urinary symptoms in Decembe…