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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×
custody_injury · 2025-Q3
A person died from complications of a hip fracture after a fall in their room at a residence. The circumstances surrounding the death raise questions about the lack of structured risk assessments and preventive measures in the residence.
custody_death · 2024-Q4
A person with a major neurocognitive disorder died from asphyxiation caused by a food obstruction in a residential resource. The coroner's office made a recommendation to the residence to cut high-risk foods into small pieces to prevent choking hazards.
vehicle_death · 2022-Q3
A person died by drowning after their vehicle was swept away by water in a ravine caused by the rupture of a culvert in a rural area. The culvert had been replaced a few months prior without engineering plans or bids, and under conditions that did not respect recognized standards.
custody_death · 2024-Q3
A person died from a health condition in a private seniors' residence in a Quebec city, raising questions about the evaluation and detection of health deterioration in such facilities.
custody_injury · 2024-Q1
A person died from complications after a prolonged stay in an intermediate resource, followed by a delay before ambulance care. The circumstances surrounding the death raise concerns about user surveillance, telephone accessibility to the intermediate resource, and the effectiveness of the pre-hospital response system.
custody_injury · 2024-Q2
A person died from a head injury after falling from their wheelchair in an intermediate resource in a regional community. The circumstances surrounding the death raise concerns about the framework for control measures in intermediate resources and the involvement of families in decisions related to the safety of people with loss of autonomy.
custody_injury · 2024-Q2
A person died due to acute respiratory distress in a context of difficult airway management. The circumstances surrounding the death raise questions about the management of a difficult airway and the secure planning of medical transfers.
vehicle_death · 2024-Q2
A person died in a collision between their car and a farm tractor trailer in a rural area. The trailer had partially obstructed warning signs and unusually positioned lights, raising concerns about the visibility and signaling of agricultural vehicles at night.
vehicle_death · 2023-Q4
A person died from asphyxiation due to a thoracic crush in a road collision on a route in a region. The person, driving a vehicle, collided with the rear of a slow-moving heavy truck without braking or slowing down. The circumstances surrounding the death raise questions about inattention or distraction while driving and the need to increase awareness efforts to prevent such accidents.
custody_death · 2024-Q4
A person with severe dysphagia died by aspiration in a long-term care facility. The coroner recommended that staff stay with residents after administering medication to prevent choking risks.
custody_injury · 2024-Q1
A person died from complications related to a fall in a hospital in a Quebec region. The coroner's report raises questions about the evaluation and follow-up care after the fall, as well as the adequacy of hospital surveillance measures.
custody_injury · 2023-Q3
A person died from complications related to a hip fracture sustained in a fall at a care facility. The coroner's investigation raised questions about fall prevention, medication management, and care documentation.
custody_injury · 2024-Q3
An individual died from a hip fracture after a fall, and the investigation found that their osteoporosis diagnosis was not systematically taken into account in risk assessments.
custody_death · 2023-Q4
A person died from an acute thoraco-abdominal aortic dissection in Quebec. Despite a medical consultation for chest pain, they were discharged and their condition rapidly deteriorated at home. The coroner's office is recommending improvements to medical care and detection of aortic dissections.
custody_death · 2025-Q2
A person with multiple neurodevelopmental disorders and significant comorbidities died from bilateral broncho-pneumonia in a long-term care facility. The circumstances surrounding the death raise questions about the medical evaluation after a fall, the decision to quickly orient care towards a comfort approach, and the keeping of medical records in the facility.
custody_injury · 2025-Q2
A person died from medical complications related to a hip fracture after being transferred to a long-term care unit. The circumstances surrounding the death raise concerns about the lack of risk assessment during the transfer and the delay in medical care after the fall.
custody_injury · 2025-Q3
A person died from complications related to a hip fracture after a fall in a care facility. The circumstances surrounding the death raise questions about continuity of care, fall prevention, and interdisciplinary coordination for elderly individuals with loss of autonomy.
custody_death · 2023-Q2
A person died from acute coronary syndrome in a hospital in a region of Quebec. The coroner's investigation raised questions about the rigor of nighttime surveillance and the lack of clear directives regarding resuscitation.
custody_injury · 2023-Q4
A person died from complications related to a hip fracture after a fall in a private seniors' residence in a region. Delays in evaluating the person's condition after the fall and insufficient documentation of observations by care staff were noted.
custody_injury · 2024-Q2
A person died by choking on food in a long-term care facility in a region. The person required full assistance with eating and their food was supposed to be of a texture adapted to their condition, but they were able to access food without supervision, leading to the obstruction. The circumstances surrounding the death raise questions about the management of choking risks for vulnerable individuals in care facilities.