A resident is administered medication to which he has a known allergy leading to death prompting a review of practice and systems of care.

Thunderstorm asthma events can trigger severe asthma symptoms in susceptible individuals and potentially rapidly overwhelm health services.

Failure to hear the concerns of those that should be at the centre of every health care interaction is a missed opportunity to prevent harm.

Examining the timeliness of care in harm prevention.

Premature deaths of residents due to suboptimal management of diabetes mellitus.

Extubation-related incidents continue to cause preventable deaths.