Search
Full-text search across every published incident. Officer names are never indexed — search hits match the redacted summary, agency name, tribunal citation, and the controlled-vocabulary fields (incident type, finding, disposition).
- Agency: coroner-qc×
fire_death · 2024-Q1
A person died from severe burns caused by a fire in the smoking room of a long-term care facility in a region. The circumstances surrounding the death raise questions about the evaluation of the ability to smoke safely and the supervision of smoking rooms in care facilities.
custody_death · 2024-Q2
An adolescent died by asphyxiation in a rural area, raising questions about the effectiveness of interventions to support vulnerable youth.
custody_injury · 2025-Q1
A person died from a probable intracranial hemorrhage caused by a fall at the hospital. The circumstances surrounding the death raise questions about fall prevention and post-fall clinical management.
custody_death · 2023-Q4
A person died by asphyxiation at their home in Quebec, after expressing suicidal ideas due to recent separation and depression. The coroner's report raises questions about the evaluation of suicidal risk and the care of patients in psychological distress.
custody_death · 2024-Q1
vehicle_death · 2025-Q1
A person died from polytraumatism after a car accident in Saguenay. The vehicle they were in crashed into a rock wall at an intersection, and the incident raised concerns about road signage and sun glare prevention.
medical_accident · 2024-Q1
A person died from a hemorrhagic shock after a medical procedure at a hospital. The circumstances surrounding the death raised questions about the duration of post-procedure observation, pain management, and home care support.
vehicle_death · 2024-Q1
A person died after being hit by a vehicle while crossing a pedestrian priority crossing in Saguenay. The driver did not see the affected person until the last moment and could not avoid the collision. The coroner's office made recommendations to improve pedestrian safety in the area.
medical_accident · 2020-Q2
A person died after receiving osteopathic treatment, in Montréal, raising concerns about the safety of cervical manipulations and the need for professional supervision of osteopaths.
suicide · 2024-Q3
An adolescent died by drowning after jumping from a bridge, prompting the coroner's office to recommend safety measures to prevent similar incidents.
custody_injury · 2025-Q1
A person died from complications after a hip fracture caused by a fall at a private seniors' residence in Quebec. The circumstances surrounding the death raise questions about clinical documentation and incident management at the residence.
custody_death · 2024-Q2
An adolescent died by asphyxiation at their home in a Quebec community. The youth had visited the emergency room two days prior and was directed to short-term psychosocial follow-up and home supervision. The circumstances surrounding the death raise questions about the evaluation of suicidal risk and the coordination of follow-up for vulnerable youth.
custody_injury · 2024-Q2
A person died from complications related to a head trauma after a fall at their care facility. The coroner's investigation raised questions about fall prevention and incident management in private care facilities.
vehicle_death · 2022-Q4
A person died from smoke inhalation after their vehicle caught fire on a racing circuit in a region. The coroner's office is recommending that the racing circuit establish an emergency intervention protocol to ensure rapid access to emergency services in the event of a fire.
custody_injury · 2025-Q1
A person died from a hip fracture after falling down an exterior staircase in a city. They suffered from a pre-existing medical condition and had not received their last medication dose. The circumstances surrounding the death raise questions about follow-up care, access to therapy, and medication reminders.
custody_death · 2023-Q2
A person died from acute coronary syndrome in a hospital, with the circumstances surrounding their death raising questions about the rigor of nighttime surveillance and the need for clear directives on resuscitation.
custody_death · 2023-Q2
A person died due to acute neurological evolution associated with a known condition. The circumstances surrounding the death raise questions about the management of a medical condition and care in such cases.
custody_injury · 2023-Q3
Une personne est décédée des suites de complications médicales consécutives à une chute survenue à un hôpital de Montréal.
medical_error · 2022-Q2
A person died from an accidental overdose of medication administered in a palliative care context at their home, due to a transcription error of doses. The coroner's office made recommendations to the regulatory body to improve vigilance in medication administration and implement robust multiple verification processes.
custody_injury · 2024-Q2
A person died from complications related to a femur fracture in a long-term care facility in a rural area. The circumstances surrounding the death raise questions about the prevention of falls and the management of osteoporosis in long-term care facilities.