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custody_injury · 2024-Q2

Bureau du coroner (Québec) · Bureau du coroner du Québec

Finding
Disposition
Cohort size
195

Redacted summary

A patient died from acute coronary syndrome while hospitalized for a liver transplant at a hospital. The patient had active delirium and was not supervised, leading to an unattended exit from their room and subsequent discovery in a stairwell. The coroner's report highlights issues with delirium evaluation, surveillance, and security measures.

Officer

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Source

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