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recurance

Michael Robert Collins

30 Oct 2020 · Coroner Nadia Persaud · East London

The coroner's concerns

  1. 1. results not sent to referring clinician

    “The Inquest heard evidence that the current CERNER system does not always ensure that results are sent through to the referring clinician”
  2. 2. reports not reaching appropriate clinician

    “The Inquest heard evidence that radiologists can now drop reports into a folder where there are unexpected and significant radiological findings”

Responses

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  • NVIDIA Nemotron Nano, Super and Ultra
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  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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