Pre-registered research · Phase 1

Quantifying institutional delay risk
in healthcare

IDRS is an evidence-based scoring system that measures patterns of institutional healthcare delay using Queensland coronial inquest findings — built for the legal and health insurance sectors.

Join the waitlist Pre-registration ↗

The problem

Preventable deaths follow identifiable patterns.
Those patterns aren't being measured.

Queensland coronial inquests reveal a recurring picture: healthcare institutions where delayed escalation, missed referrals, and dismissed concerns compound into fatal outcomes. Today, identifying these patterns requires thousands of hours of manual review — and the insight rarely reaches the practitioners who need it.

103
Queensland coronial cases
scored in Phase 1
22
Institutional failure
pattern types identified
6
Scoring dimensions
per case
OSF
Pre-registered methodology.
Open science standards.
24
Prior findings ignored. In 24 Phase 1 cases, the institution had a relevant coronial finding on record before another death occurred. The pattern was documented. The systemic change did not follow.

What IDRS does

Structured risk intelligence
from coronial data

IDRS extracts, structures, and scores healthcare institutional delay from publicly available Queensland inquest findings — producing reproducible, auditable risk scores at the case and facility level.

📄

Automated extraction

Structured data extracted from inquest PDFs using a dual-pass NLP pipeline with human review and tiebreaker logic.

📊

Reproducible scoring

Six-dimensional scoring formula — signal strength, delay weight, severity, escalation, vulnerability, and complaint modifier — with full audit trail.

🏥

Facility-level ranking

Cases normalised by facility volume to produce comparable institutional risk rankings across Queensland Health facilities.

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Compliant by design

No individual practitioner identification. Pre-registered methodology. Coronial findings are public documents under the Coroners Act 2003 (Qld).


How it works

From inquest finding
to risk score

Three stages — from public court documents to structured, auditable institutional risk intelligence.

Step 1 — Source

Coronial inquest findings

Publicly available PDF findings from the Coroners Court of Queensland, published under the Coroners Act 2003 (Qld). No private health records accessed.

Step 2 — Extract

Structured extraction + human review

A dual-pass NLP pipeline identifies 22 institutional failure pattern types across 6 scoring dimensions. All cases pass human review with a validated tiebreaker.

Step 3 — Score

Facility-level risk score

A six-dimensional formula produces a reproducible risk score per case, normalised by facility volume to enable fair comparison across Queensland Health institutions.


Who it's for

Built for legal, insurance,
and research practitioners

Medical negligence law firms

Rapidly identify facilities with established patterns of institutional delay relevant to a client's case. Risk-stratified evidence from coronial findings, structured for legal use.

Medical indemnity insurers

Portfolio-level risk intelligence on facility-specific delay patterns. Evidence-based underwriting signal from independently sourced coronial data.

Health researchers & academics

Pre-registered, reproducible scoring methodology. Open science framework with OSF pre-registration. Suitable for academic partnership and peer-reviewed output.


Roadmap

Built to scale.
Phase by phase.

IDRS is a platform, not a one-off study. Each phase extends the scope, automation, and reach of institutional risk intelligence.

Phase 1
Complete

Retrospective corpus

103 Queensland coronial cases extracted, scored, and human-reviewed. Pre-registered methodology. Facility-level risk rankings produced across 22 institutional failure pattern types.

Phase 2 · 2026
In development

Live ingestion + dashboard

Automated ingestion of new coronial findings as published. Interactive facility dashboard. Queensland Health institutions tracked continuously as new inquest findings are released.

Phase 3 · 2027+
Planned

Prospective monitoring

Applying Phase 1 and 2 failure pattern signatures to complaint, incident, and clinical governance data — flagging at-risk facilities before harm occurs, not after. National expansion beyond Queensland.


About

Independent research,
built in Brisbane

JH

Jai Hayward — Independent health researcher

IDRS was built to address a gap between what Queensland coronial findings document and what the health and legal sectors can systematically measure. Institutional failure patterns appear repeatedly across inquest findings — but without a reproducible, auditable method for identifying and ranking them, that information stays buried in PDFs. The project uses a pre-registered methodology, open science standards, and a human-reviewed extraction pipeline to change that. Based in Brisbane, QLD.


Research integrity

Pre-registered methodology.
Open science standards.

🔬

OSF pre-registration — Phase 1

IDRS's scoring methodology, corpus definition, and analysis plan are pre-registered on the Open Science Framework before Phase 1 scoring runs. This prevents post-hoc hypothesis changes and ensures results are independently verifiable.

doi.org/10.17605/OSF.IO/3U24Z ↗
Phase 1 corpus
103 cases scored
Scoring run
Phase 1 complete
Availability
2026 — join waitlist
Jurisdiction
Queensland, Australia
Data sources: IDRS processes only publicly available court documents published under the Coroners Act 2003 (Qld). No patient records, My Health Record data, or private health information is accessed or stored. No individual practitioners are identified or scored.

Join the waitlist

IDRS Phase 1 is complete. Join the waitlist to be notified when results are available for your sector.

Or email directly: jaih@idrsystem.com.au