Repeated warnings
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656 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Delayed ambulance dispatch to unconscious head injury patient
East Midlands Ambulance Service · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Duplicate records leading to missing healthcare data
HMP Pentonville · Prison or detention
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 2 reports · 1 coronerClosely relatedConfidence 0.80 · moderate
- Insufficient ambulance resources in specific division
East Midlands Ambulance Service · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.85 · high - Insufficient nighttime staffing leading to missed healthcare involvement in ACCT
Birmingham and Solihull Mental Health NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 2 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Preventive action needed for north bridge safety
Calderdale Council · Local authority
2 reports · 1 coronerIdentical hazardConfidence 0.90 · highNo published response to an earlier report - Missing chevron sign on approach to bend at Leese Hill
Staffordshire County Council · Local authority
2 reports · 1 coronerClosely relatedConfidence 0.85 · highNo published response to an earlier report - Undulation in road surface leading to loss of control
Worcestershire County Council · Local authority
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Inadequate face to face medical handover of patient information
Care Quality Commission · National body
4 reports · 4 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - Missing admission risk assessments and care plan details
Avon and Wiltshire Mental Health NHS Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - 3 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo 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 coronersIdentical hazardConfidence 0.92 · highNo published response to an earlier report - Incompatible IT systems hinder clinical information exchange
Stockport NHS Foundation Trust · NHS body
2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 2 reports · 2 coronersIdentical hazardConfidence 0.95 · high
- Inadequate signage and lighting at foot crossing
Network Rail · National body
4 reports · 4 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Patient flow problems leading to ambulance handover delays
Welsh Ambulance Service NHS Trust · Ambulance service
2 reports · 2 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 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 - 2 reports · 2 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report
- Button battery ingestion risk in children's environments
Department of Health and Social Care · National body
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high