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.

Organisation type

Ambulance service25 Commissioner6 Company or provider10 Local authority28 National body NHS body175 Police28 Prison or detention12 Other40

Theme

Care homes28 Child deaths64 Custody and policing46 Drugs, alcohol and medication32 Emergency and community care46 Hospital care Mental health72 Products and workplaces9 Roads and rail53 Suicide197 Other11

Relation

Identical Closely related

Reports

3+ reports

More filters

Minimum confidence

0.80+0.90+

At least

5 reports 10 reports

Active:National body Hospital care Identical Clear all

11 chains, most recent report first. The order is by date only; there is no ranking of organisations.

Patients treated in ED corridor due to lack of clinical space
NHS England · National body
3 reports · 1 coroner
Identical hazardConfidence 0.95 · high
Adhesions leading to small bowel obstruction
NHS England · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · high
Inadequate repositioning and monitoring of at-risk patients
Care Quality Commission · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · highNo published response to an earlier report
Use of corridors for patient care during ED overcrowding
NHS England · National body
2 reports · 1 coroner
Identical hazardConfidence 0.96 · high
Patients not informed of surgical risks in Turkey
Department of Health and Social Care · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · high
Unrecognised oesophageal intubation and unconfirmed tracheal tube placement
NHS England · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · high
Recurring hazard (see the quoted concerns)
Medicines and Healthcare products Regulatory Agency · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · highNo published response to an earlier report
Inadequate clinical records hinder investigations
Department of Health and Social Care · National body
3 reports · 1 coroner
Identical hazardConfidence 0.90 · high
Risk assessment tool overlooks DVT risk factors
Department of Health and Social Care · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · highNo published response to an earlier report
Continuing medication for VTE risk after discharge
National Institute for Health and Care Excellence · National body
2 reports · 2 coroners
Identical hazardConfidence 0.90 · highNo published response to an earlier report
Missed breech presentation due to lack of routine prenatal scanning
Department of Health and Social Care · National body
2 reports · 2 coroners
Identical hazardConfidence 0.92 · highNo published response to an earlier report

All chains