OCC Inquest - Redmond 2018

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Redmond
Given name(s): Brian Ernest
Age: 63

Held at: Best Western Hotel – 82 Peter Street, Perth, ON 
From: Jan. 22
To: Jan. 24, 2018
By: Dr. Bob Reddoch, Coroner for Ontario
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Brian Ernest Redmond
Date and time of death: April 8th, 2015 at 9:04 a.m.
Place of death: Perth and Smiths Falls District Hospital
Cause of death: Complications of duodenal ulcer and hypertensive heart disease
By what means: Natural

(Original signed by: Foreperson)


The verdict was received on the 24 of Jan., 2018
Coroner's name: Dr. Bob Reddoch
(Original signed by coroner)


We, the jury, wish to make the following recommendations:


Inquest into the death of:

Brian Ernest Redmond


Jury Recommendations

Continuity of Care for Ontario Emergency Department Patients

To the Province of Ontario and the Ministry of Health and Long-Term Care
  1. We would encourage Ontario hospitals to establish a mechanism to determine whether a patient has been to a hospital emergency room recently, in order to provide the physician on duty further information which would enhance continuity of care for the patient.
  2. We would recommend the Ministry of Health and Long-Term Care move to electronic record keeping/charting, at all hospitals. This type of record keeping would enhance continuity of care for all patients.