Research / Publications
Publications
Peer-reviewed papers, preprints and policy submissions using coroners’ Prevention of Future Deaths reports.
Haemorrhage
Deaths from bleeds reported by coroners in PFDs, published in Public Health.
20 November 2025Thromboembolism
Deaths involving clots reported by coroners, published in Public Health.
29 August 2025Autistic Spectrum Disorder
Deaths reported by coroners in people with autism published in the Journal of Adult Protection.
6 January 2025Suicides & medicines
Suicides involving medicines reported by coroners published in Public Health in Practice.
23 March 2024Sepsis
Deaths reported by coroners from sepsis published in Infection.
11 December 2023Opioids
Deaths reported by coroners involving strong pain medicines published in the Journal of Public Health.
1 December 2023Falls
Deaths reported by coroners involving falls published in Age and Ageing.
15 October 2023Systematic review of health research using coroners’ reports
Our systematic review of coroners PFD reports, published in Journal of Patient Safety and Risk Management.
7 September 2023Epidemiology of coroners’ reports 2013-2022
Commentary describing our web scraping methods ability to identify statistics and trends from coroners reports published in Medico-Legal Journal.
1 September 2023Systematic review of coroners’ reports involving medicines
Our systematic review of coroners’ PFDs reporting medicines published in Pharmaceutical Medicine.
8 July 2023Dog attacks
Forty-eight inquests and six coroners reports involving dog attacks published as a rapid response letter in The BMJ.
27 April 2023Medicines
Deaths reported by coroners involving medicines published in Drug Safety.
22 February 2023Request a bespoke analysis report
We conduct bespoke analyses and studies of coroner reports to identify trends and lessons for improving public safety and reducing avoidable harm.
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