Coroners and Medical Examiners

A secure portal provides coroners and medical examiners with a direct, secure connection to ISMP Canada for the purpose of sharing lessons learned from case data.

Coroners and Medical Examiners

ISMP Canada has worked with a number of provincial and territorial Coroner’s and Medical Examiner’s Offices on both a formal and informal basis, including case reviews, committee membership, and providing expert witness testimony for inquests.

Analysis of case data from Coroner and Medical Examiner investigations provides insights into underlying contributing factors and can suggest opportunities for improvement that may be broadly applicable, with the potential to reduce the likelihood of future similar deaths. A checklist to support review of medication error associated deaths is available:

Checklist for Investigating Deaths Involving Medication Incidents
Liste de contrôle pour enquête sur les décès impliquant des accidents médicamenteux (French)

A secure portal is available to provide coroners and medical examiners with a direct, secure connection to ISMP Canada for the purpose of sharing lessons learned from case data. Email info@ismpcanada.ca to arrange to securely share case information. ISMP Canada can also offer support for individual patient safety incident reviews. All information shared with ISMP Canada WILL BE KEPT STRICTLY CONFIDENTIAL AND PROTECTED, and will be managed in accordance with ISMP Canada’s privacy policies, practices and procedures.