Recommendations Recap

The quarterly Recommendations Recap is a summary of coroners' findings that have been made over a 3-month period. Each edition may include a case-study on a particular topic.

Issue 12: 1 July to 31 December 2016 [PDF, 996 KB]
Case study: Self-inflicted deaths

Issue 11: 1 January to 30 June 2016 [PDF, 1.2 MB]
Case study: Recreational deaths - hiking

Issue 10: 1 July to 31 December 2015 [PDF, 1021 KB]
Case study: Deaths from medication errors

Issue 9: 1 January to 30 June 2015 [PDF, 865 KB]
Case study: Overseas drivers and motor vehicle crashes

Issue 8: 1 October 2013 to 31 December 2014 [PDF, 1.3 MB]
Case study, part A: Where immunisation might have acted as a preventative health tool.
Case study, part B: Deaths related to the Christchurch earthquake

Issue 7: 1 July to 30 September 2013 [PDF, 1.4 MB]

Issue 6: 1 April to 30 June 2013 [PDF, 1.4 MB]
Case study: Drowning deaths during recreational boating

Issue 5: 1 October 2012 to 31 March 2013 [PDF, 1 MB]

Issue 4: 1 July to 30 September 2012 [PDF, 832 KB]
Case study: forestry [PDF, 316 KB]

Issue 3: 1 April to 30 June 2012 [PDF, 1.2 MB]

Issue 2: 1 January to 31 March 2012 [PDF, 1.7 MB]
Case study: Volatile substance abuse – butane-based substances

Issue 1: 1 October to 31 December 2011 [PDF, 1.2 MB]
Case study: Sudden Unexplained Death of an Infant (SUDI)

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