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.
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At least
137 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Insufficient traffic calming at junction leading to collisions
Lincolnshire County Council · Local authority
4 reports · 3 coronersClosely relatedConfidence 0.85 · highNo published response to an earlier report - 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 - 3 reports · 3 coronersClosely relatedConfidence 0.90 · high
- Inadequate record keeping and retention compromising care
Blackpool Teaching Hospitals NHS Foundation Trust · NHS body
3 reports · 3 coronersClosely relatedConfidence 0.82 · moderateNo published response to an earlier report - 3 reports · 3 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 5 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo 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 - 3 reports · 2 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- 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 - 3 reports · 3 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report
- Incomplete and inaccurate nursing records and documentation
Pennine Acute Hospitals NHS Trust · NHS body
3 reports · 1 coronerClosely relatedConfidence 0.85 · high - Risk of suicide and self-harm in newly arrived prisoners
His Majesty's Prison and Probation Service · National body
3 reports · 2 coronersClosely relatedConfidence 0.90 · high - Missing escort records during reception screening
His Majesty's Prison and Probation Service · National body
3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report - 3 reports · 3 coronersClosely relatedConfidence 0.90 · highNo published response to an earlier report
- 3 reports · 3 coronersClosely relatedConfidence 0.70 · moderate
- Inadequate communication between clinical staff and families
Tameside Hospital NHS Foundation Trust · NHS body
4 reports · 1 coronerClosely relatedConfidence 0.80 · moderateNo published response to an earlier report - Lack of written observation protocol for child and adolescent mental health unit
Greater Manchester West Mental Health NHS Foundation Trust · NHS body
3 reports · 3 coronersClosely relatedConfidence 0.80 · moderateNo published response to an earlier report