Repeated warnings
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656 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 2 reports · 2 coronersIdentical hazardConfidence 0.90 · high
- Incompatible electronic records hinder mental health information sharing
Pennine Care NHS Trust · NHS body
4 reports · 3 coronersClosely relatedConfidence 0.90 · high - Incompatible electronic records between mental and physical health services
Department of Health and Social Care · National body
2 reports · 1 coronerIdentical hazardConfidence 0.90 · high - Ambulance delays for frail elderly hip fracture patients
Department of Health and Social Care · National body
3 reports · 1 coronerClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 1 coronerClosely relatedConfidence 0.80 · moderate
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersIdentical hazardConfidence 0.90 · high
- Lack of action on high clozapine blood test results
Department of Health and Social Care · National body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Ambulance delays leading to resource unavailability
Betsi Cadwaladr University Health Board · NHS body
12 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Delayed ambulance response to critically unwell patient
Welsh Ambulance Service NHS Trust · Ambulance service
3 reports · 3 coronersClosely relatedConfidence 0.90 · high - Untrained police control room staff lack recognition of acute behaviour
College of Policing · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Lack of integrated multidisciplinary care across sites
University Hospitals Birmingham NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inaccurate risk assessment of Mycobacterium Chimaera infection from heater-cool
UK Health Security Agency · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 4 reports · 4 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report
- Insufficient ambulance resources leading to delayed response
South East Coast Ambulance Service · Ambulance service
4 reports · 3 coronersClosely relatedConfidence 0.85 · high - Unattended blade in cell overnight
Ministry of Justice · National body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Look-alike medication packaging leading to dispensing errors
Medicines and Healthcare products Regulatory Agency · National body
3 reports · 3 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report
- Inadequate transfer of suicide risk information
Blackpool Teaching Hospitals NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high