The booklet ‘From Death We Learn 2014′ was released by the Coronial Liaison Unit (CLU) of the Department of Health in late 2015. This is an annual publication aimed at raising awareness of the coronial process and the lessons learned from inquest investigations from the previous year. The overarching objective is to prevent similar deaths or harm to patients. Included in this edition are key discussion points for each case to prompt discussion and debate in an educational or professional development setting.
While no recommendations were made by the Coroner in the majority of the cases in this edition of From Death We Learn this document still provides valuable lessons for health providers. Certain cases outlined involved the provision of mental health care.
Follow the link to From Death We Learn