custody_injury · 2023-Q3
Bureau du coroner (Québec) · Bureau du coroner
Finding
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Disposition
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Cohort size
100
Redacted summary
A person died from terminal cardiac insufficiency, aggravated by an accidental fall in a long-term care facility. The risk of falls had been identified, but they got up without assistance, resulting in a fall with head impact. The circumstances surrounding the death raise questions about the surveillance of residents at risk of falls and the need to review record-keeping and monitoring of electronic surveillance devices.
Officer
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Source
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