Repeated warnings
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156 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Missed opportunity for appropriate VTE risk management
Worcestershire Acute Hospitals NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of transport suitability assessment for changing patient conditions
Barts Health NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Disjointed clinical information system leading to data loss risk
Tameside and Glossop Integrated Care NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Communication failures and information sharing problems across trust
Mid and South Essex NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Antibiotic prescribing without joint discussion or swallow assessment
Tameside General Hospital · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Inadequate risk assessment documentation and inaccurate record keeping
Essex Partnership University NHS Foundation Trust · NHS body
6 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 3 reports · 1 coronerClosely relatedConfidence 0.85 · high
- Untrained staff conducting mental health assessments
Mid and South Essex NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.92 · high - 3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Delayed resuscitation due to insufficient staff awareness or training
Oxleas NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- Inadequate ACCT documentation and communication
Central and North West London NHS Foundation Trust · NHS body
4 reports · 3 coronersClosely relatedConfidence 0.80 · moderate - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Inadequate information sharing between healthcare providers
Central and North West London NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- Junior staff reluctance to challenge senior clinicians
East Suffolk and North Essex NHS Foundation Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Lack of standard operating procedures for worsening patients in renal unit
Royal Cornwall Hospital · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.90 · high