Repeated warnings
Each one is a single concern, raised with the same organisation in two or more coroners' reports at least six months apart. Nemotron Super judged every match to be the same or a closely related hazard, and both quotes are checked word for word against the reports.
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At least
533 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Missing chevron sign on approach to bend at Leese Hill
Staffordshire County Council · Local authority
2 reports · 1 coronerClosely relatedConfidence 0.85 · highNo published response to an earlier report - Undulation in road surface leading to loss of control
Worcestershire County Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Inadequate face to face medical handover of patient information
Care Quality Commission · National body
4 reports · 4 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Missing admission risk assessments and care plan details
Avon and Wiltshire Mental Health NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 3 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Incompatible IT systems hinder clinical information exchange
Stockport NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - Inadequate signage and lighting at foot crossing
Network Rail · National body
4 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Patient flow problems leading to ambulance handover delays
Welsh Ambulance Service NHS Trust · Ambulance service
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
- 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Paramedic staffing shortages impacting ambulance response times
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.92 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Unclear hospital transfer process and forms
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Delayed resolution of outstanding safety issues
Avon and Wiltshire Mental Health Partnership NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 3 reports · 3 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Incomplete and inaccurate nursing records and documentation
Pennine Acute Hospitals NHS Trust · NHS body
3 reports · 1 coronerClosely relatedConfidence 0.85 · high - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Young people placed in adult mental health facilities
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report