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.
All chains
Organisation type
Theme
Relation
Reports
More filters
Minimum confidence
At least
32 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 2 reports · 2 coronersIdentical hazardConfidence 0.95 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- 2 reports · 2 coronersIdentical hazardConfidence 0.95 · highNo published response to an earlier report
- Uncontrolled prescribing of contraindicated drugs
NHS England · National body
2 reports · 2 coronersIdentical hazardConfidence 0.95 · high - Manipulable medication suitability questionnaire
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Inadequate staff knowledge of pressure sore prevention and equipment use
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Inadequate inter-agency communication about risk and urgency
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Misunderstanding of section 135 mental health act powers leading to delays
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Inadequate diabetes screening guidance for healthcare professionals
National Institute for Health and Care Excellence · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of clear guidance on ligature incidents and self-harm risk
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of care plan coordination
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Lack of access to qualified psychologist during home treatment team care
Department of Health and Social Care · National body
2 reports · 1 coronerIdentical hazardConfidence 0.95 · highNo published response to an earlier report