Prevention of Future Deaths reports.
On average, 1% of inquests are written as PFD reports every year (2014-2021), the lowest ratio in the whole pipeline.
A platform to learn lessons from PFDs to prevent future deaths
by Qingyang Zhang on
Prevention of Future Deaths reports.
On average, 1% of inquests are written as PFD reports every year (2014-2021), the lowest ratio in the whole pipeline.
An inquest is opened by a coroner, and is a fact-finding investigation used to determine when, where and how a person died. On average, inquests are opened on 53.8% of postmortems conducted every year (2014-2021).
A caveat to the pipeline is that inquests can be opened without a postmortem examination. From 2014 to 2021, 18.5% of inquests are opened without postmortems.
Inquests can be concluded (a cause of death is determined), adjourned (postponed), or left open (no conclusion is reached regarding the cause of death).
Postmortem examinations is an examination of the body to determine the cause of death.
On average, postmortem is conducted on 38.8% of all reported deaths every year (2014-2021).
In 2021, 33% of all deaths were reported to coroners.