Learning from Preventable Deaths: A prospective evaluation of reforms to Coroners' recommendation powers in Victoria

澳大利亚的验尸官每年调查近13，000起死亡事件，在健康和安全风险方面具有独特的Vantage。 公众作为一个整体将受益于有助于将这些见解转化为系统变化的信息，这些变化有助于防止伤害和事故的发生。 本项目旨在提供此类信息。 它还将为其他几个层面的利益攸关方服务。 通过阐明死因裁判官的建议产生积极变化的情况，项目结果将帮助死因裁判官塑造和传播他们的预防信息，以取得最大效果。 此外，对于有兴趣修改或提高验尸官推荐权的州，我们的研究结果将有助于指导改革。

Coroners in Australia investigate nearly 13,000 deaths each year and have a unique vantage point on health and safety risks. The public as a whole will benefit from information that helps translate those insights into system changes that work to prevent injuries and accidents from occurring. This project is designed to produce such information. It will also serve stakeholders at several other levels. By illuminating circumstances in which coroners recommendations produce positive change, project findings will help coroners shape and disseminate their prevention messages for maximum effect. Also, for states interested in modifying or boosting coroners' recommendation powers, our findings will help guide reforms.