Name: DB- Non-inquest findings Coroner: Kirkegaard Description: Rural property death; tractor roll-over; crush injuries; early model/vintage tractors; roll over protective structure (ROPS); sloping terrain; excessive weight with inadequate ballast. Findings date: 09/03/2023 Findings PDF, 187KB Queensland Government response not required
Name: Hunter- Non-inquest findings Coroner: Kirkegaard Description: Paediatric death, regional hospital; acute abdominal pain; Autism Spectrum Disorder (level 1); paediatric pain assessment; persisting and worsening vomiting; bilious vomitus; surgical admission to paediatric ward; failure to recognise and respond to clinical deterioration or parent concerns; lack of senior clinician oversight and input; premature closure and anchoring bias, inadequate nursing documentation (fluid balance chart, Children’s Early Warning Tool – CEWT); Ryan’s Rule; Root Cause Analysis (RCA); congenital band adhesion. Findings date: 13/02/2023 Findings PDF, 314KB Queensland Government response not required
Name: Moroney, Madeleine Kate Coroner: O'Connell Description: Inquest, road accident, passenger vehicle overturned on country road, how the accident occurred, identity of the driver at the time of the incident. Findings date: 13/02/2023 Findings PDF, 226KB Queensland Government response not required
Name: Civic, Mirko Coroner: Ryan Description: Inquest, death in custody, natural causes, health care, provision of Aspirin and anti-hypertensive medication to prisoner with history of cardiac illness. Findings date: 30/01/2023 Findings PDF, 257KB Queensland Government response not required
Name: Smith, David Frederick Coroner: Ryan Description: Inquest, death in custody, natural causes, essential thrombocytosis, provision of medication. Findings date: 24/01/2023 Findings PDF, 222KB Queensland Government response not required
Name: Drane, John Edward Coroner: Lock Description: inquest, nursing home resident, immolation, burns, whether accidental or self-harm, risk assessments for smoking and/or self-harm, physical diseases as predictors of suicide in older adults, communication in concurrent investigations Findings date: 23/12/2022 Findings PDF, 545KB Government Response PDF, 125KB Queensland Government response not required
Name: Parker, Lee Edward Coroner: Lock Description: Fire, suspicious circumstances, Mobile Home Park, smoke alarms. Findings date: 23/12/2022 Findings PDF, 403KB Government Response PDF, 163KB Queensland Government response not required
Name: Shaw, Alan Macklin- non-inquest findings Coroner: Clements Description: Roller door failure, design fault, multi residential premises. Findings date: 16/12/2022 Findings PDF, 136KB Queensland Government response not required
Name: Childs, Dennis William Coroner: Ryan Description: Death in custody, natural causes, health care, refusal of treatment by prisoner. Findings date: 29/11/2022 Findings PDF, 210KB Queensland Government response not required
Name: Cooper, David Coroner: Lock Description: Findings date: 29/11/2022 Findings PDF, 331KB Government Response PDF, 174KB Queensland Government response not required