Repeated warnings
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At least
533 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Petrol based emollient cream fire risk
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.85 · high
- 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- Inadequate ACCT documentation and healthcare absence during reviews
HMP Woodhill · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Communication failures between mental health liaison team and acute hospital
Brighton and Sussex University Hospitals NHS Trust · NHS body
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Unnecessary patient transfers without proper documentation
Brighton and Sussex University Hospitals NHS Trust · NHS body
3 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Excessive speed on b5017 in populated area
Staffordshire County Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Inadequate double check in controlled drug audit
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.92 · high - Lack of end-of-day verification of dispensed drugs
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Inconsistent mental health service provision for 16-18 year olds
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Simultaneous ambulance crew meal breaks reduce vehicle availability
Department of Health and Social Care · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Lack of clear guidance on ligature incidents and self-harm risk
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of care plan coordination
Care Quality Commission · National body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Lack of meaningful family involvement in care process
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate
- Inaccurate discharge letters to primary care
NHS England · National body
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - SASH form not identified or completed at reception
HMP Winchester · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 2 coronersClosely relatedConfidence 0.90 · high