Research / Publications
Publications
We conduct academic research using the Preventable Deaths Tracker tools that are published in high-impact journals.
Fatal self-poisoning with Cerbera manghas purchased through a U.K. homeware supply chain: A case report highlighting a novel consumer safety hazard
Published in ‘Drug Science, Policy and Law’
10 September 2026Safety concerns reported by coroners following fentanyl patch fatalities in England, Wales and Northern Ireland between 1997 and 2024
Published in ‘British Journal of Clinical Pharmacology’
17 March 2026Preventable deaths related to haemorrhage in England and Wales, 2013–2022: A systematic case series of coroners’ reports
Published in ‘Public Health’
20 November 2025Preventable maternal deaths in England and Wales, 2013–2023: a systematic case series of coroners’ reports
Published in ‘Gynaecology and Obstetrics Clinical Medicine’
4 November 2025Preventable deaths related to thromboembolism in England and Wales, 2013-2022: A systematic case series of coroners’ reports
Published in ‘Public Health’
29 August 2025Investigating deaths of people with autistic spectrum disorder in health and social care in England and Wales
Published in the ‘Journal of Adult Protection’
6 January 2025Preventable suicides involving medicines: A systematic case series of coroners’ reports in England and Wales
Published in ‘Public Health in Practice’
23 March 2024Preventable deaths involving sepsis in England and Wales, 2013–2022: a systematic case series of coroners’ reports
Published in ‘Infection’
11 December 2023Preventable deaths involving opioids in England and Wales, 2013–2022: a systematic case series of coroners’ reports
Published in the ‘Journal of Public Health’
1 December 2023Preventable deaths involving falls in England and Wales, 2013–22: a systematic case series of coroners’ reports
Published in ‘Age and Ageing’
15 October 2023A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): A tool for patient safety in hospitals
Published in ‘Journal of Patient Safety and Risk Management’
7 September 2023Lessons from web scraping coroners’ Prevention of Future Deaths reports
Published in ‘Medico-Legal Journal’
1 September 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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