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Coroner’s report—working together to improve prevention

12 December 2025

Article key points

The latest report from the Quebec coroner’s office serves as a sobering reminder of an undeniable reality: preventing pressure injuries continues to be of fundamental importance in our healthcare facilities. 

 

Beyond the report’s recommendations to prevent such a tragedy from recurring, it emphasizes the need to provide care that is respectful of people’s dignity and quality of life. To this end, it reiterates the importance for the healthcare system to rigorously address the impact of pressure injuries and to strengthen prevention efforts.  

 

Following the public inquiry held this spring, we shared our concern about unused therapeutic surfaces in facility hallways. The recommendations presented in the November 25 report are clear: healthcare facilities across the network must have quick access to a supply of therapeutic surfaces. 

 

The benefits of prevention are well known. For example, the INESSS has established that a single pressure sore costs an average of $25,000 to treat, an amount which can be much higher in some cases. In addition, meta-analyses have shown that an adequate surface allows repositioning patients every four hours, rather than every two hours, without causing pressure injuries. 

 

Solutions exist and are available. Implementing them requires a collective effort that must be undertaken urgently. Thanks to our clinical expertise, our wide range of preventive and curative products, and our exclusive rights to Mensa, we are ready to help meet this challenge. Please contact us to explore concrete ways to improve preventive care.  

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