Background Coroners, who hold inquests to determine the causes of unnatural deaths in
England and Wales, having recognised factors that could cause other deaths, are legally …

Introduction Medicines cause over 1700 preventable deaths annually in England. Coroners'
Prevention of Future Death reports (PFDs) are produced in response to preventable deaths …

In England and Wales, coroners are required to write Prevention of Future Deaths reports
when a death is deemed preventable so that action is taken to avert similar deaths. Since …

Patient harm due to unsafe healthcare is widespread, potentially devastating, and often
preventable. Hoping to eliminate avoidable harms, the World Health Organization (WHO) …

Objectives To examine coroners' Prevention of Future Deaths (PFDs) reports to identify
deaths involving SARS-CoV-2 that coroners deemed preventable. Design Consecutive case …

Background Opioid deaths have increased in England and Wales. Coroners' Prevention of
Future Deaths reports (PFDs) provide important insights that may enable safer use and avert …

Objectives To identify medicines-related deaths in coroners' reports and to explore concerns
to prevent future deaths. Design Retrospective case series of coroners' Prevention of Future …

Background Falls in older people are common, leading to significant harm including death.
Coroners have a duty to report cases where action should be taken to prevent future deaths …

Abstract Purpose Coroners' Prevention of Future Death (PFDs) reports are an under-utilized
resource to learn about preventable deaths in England and Wales. We aimed to identify …

Patient harm due to unsafe healthcare is widespread, potentially devastating, and often
preventable. Hoping to eliminate avoidable harms, the World Health Organization (WHO) …