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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Organisation type
Theme
Relation
Reports
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Minimum confidence
At least
13 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- 3 reports · 2 coronersIdentical hazardConfidence 0.92 · high
- Medically fit patients occupying hospital beds leading to ED overcrowding
Department of Health and Social Care · National body
3 reports · 2 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report
- Lack of electronic access to primary care medical notes
Department of Health and Social Care · National body
3 reports · 3 coronersIdentical hazardConfidence 0.90 · high - 2 reports · 1 coronerIdentical hazardConfidence 0.90 · high
- Inadequate paramedic ECG interpretation training
Health and Care Professions Council · Local authority
2 reports · 2 coronersIdentical hazardConfidence 0.92 · high - Delay in reporting original x-ray findings to clinicians
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Inadequate adrenaline dose in autoinjectors
Medicines and Healthcare products Regulatory Agency · National body
2 reports · 2 coronersIdentical hazardConfidence 0.95 · high - Missing fire hazard warnings on emollient cream packaging
Medicines and Healthcare products Regulatory Agency · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highReviewed dossier - Ambulance arrival delay due to operational shortages
North East Ambulance Service NHS Foundation Trust · Ambulance service
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Inadequate dissemination of protocol changes to frontline staff
East Midlands Ambulance Service NHS Trust · Ambulance service
2 reports · 1 coronerIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Delayed mental health bed allocation leading to patient deterioration
Care Quality Commission · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Lack of inpatient mental health beds
Avon and Wiltshire Mental Health Partnership NHS Trust · NHS body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high