custody_injury · 2023-Q4
Bureau du coroner (Québec) · Bureau du coroner
Finding
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Disposition
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Cohort size
117
Redacted summary
A person died from medical complications after a fall in a care facility, where they were being cared for. Despite multiple previous falls, no risk assessment adjustment was made. The coroner recommends that the healthcare provider regularly evaluate the risk of falls and implement interventions to prevent recurrence.
Officer
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Source
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