Repeated warnings
All chains
Organisation type
Theme
Relation
Reports
More filters
Minimum confidence
At least
337 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Absence of learning disability liaison nurse support
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.92 · high - Inadequate incident reporting and review systems
Department of Health and Social Care · National body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 5 reports · 5 coronersClosely relatedConfidence 0.90 · high
- Lack of staff training in cardiac arrest recognition and first aid
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Delayed emergency department treatment due to overcrowding
Department of Health and Social Care · National body
2 reports · 1 coronerIdentical hazardConfidence 0.90 · high - Inadequate english proficiency hindering communication and safety
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inconsistent iv fluid administration and inadequate shock management
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.86 · high - 3 reports · 3 coronersIdentical hazardConfidence 0.90 · high
- Shortage of autism-specific crisis care services
NHS England · National body
6 reports · 6 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Misinterpretation of CTG traces leading to missed abnormal fetal heart rate
Royal College of Obstetricians and Gynaecologists · National body
3 reports · 3 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Inconsistent interpretation of antenatal CTG leading to delayed response
National Institute for Health and Care Excellence · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Online suicide method guides and forums
Department for Science · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Online suicide forums and self-harm facilitation sites
Ofcom · National body
3 reports · 3 coronersClosely relatedConfidence 0.90 · high - 3 reports · 3 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- Lack of awareness of fatal side effects of clozapine
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.95 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Lack of mental capacity assessment and risk assessment in emergency settings
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report