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 body342 NHS body175 Police28 Prison or detention12 Other

Theme

Care homes28 Child deaths64 Custody and policing46 Drugs, alcohol and medication32 Emergency and community care46 Hospital care108 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:Other Clear all

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

Unwitnessed fall during ward transfer
Health Inspectorate Wales · Other
2 reports · 2 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Lack of staff alert system for odd behaviour
Transport for London · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Inadequate documentation of care and risk
The Lakes Care Centre · Other
2 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Algorithmic content delivery to children without safeguards
Media and Sport · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Inadequate documentation of patient observations and assessments
Doncaster Royal Infirmary · Other
3 reports · 3 coroners
Closely relatedConfidence 0.86 · high
Delayed discharge due to insufficient social care placements
Greater Manchester Integrated Care · Other
4 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Lifeguard absence at breakwater during high risk periods
Royal National Lifeboat Institution · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderate
Unregulated sale of prescription sedatives online
Media and Sport · Other
2 reports · 2 coroners
Closely relatedConfidence 0.85 · high
Inadequate investigation documentation and delayed safety disclosure
Care UK · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Absence of lifejackets on vessels
Royal Yachting Association · Other
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Inadequate clinical records hinder investigations
Barking · Other
5 reports · 1 coroner
Closely relatedConfidence 0.90 · high
Inconsistent allergy action plans fail to communicate anaphylaxis symptoms
British Society for Allergy and Clinical Immunology · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of sea risk warnings and lifeguard presence
Commonwealth and Development Office · Other
2 reports · 2 coroners
Closely relatedConfidence 0.90 · high
Delayed trans-oesophageal echocardiogram availability and staffing
Greater Manchester Integrated Care · Other
2 reports · 1 coroner
Closely relatedConfidence 0.85 · high
Excessive ambulance response delays for frail elderly hip fracture patients
Greater Manchester Integrated Care · Other
2 reports · 1 coroner
Identical hazardConfidence 0.90 · high
Delayed referral to vascular services
Greater Manchester Integrated Care · Other
2 reports · 1 coroner
Closely relatedConfidence 0.86 · high
Lack of age verification allowing children unrestricted content access
Media and Sport · Other
2 reports · 2 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Lack of multidisciplinary coordination of care
Northumberland · Other
3 reports · 3 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Online suicide forum encourages self-harm and suicide methods
Media and Sport · Other
3 reports · 3 coroners
Closely relatedConfidence 0.90 · high
Correspondence not reaching medical staff
Croft Shifa Health Centre · Other
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report

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