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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Organisation type
Theme
Relation
Reports
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Minimum confidence
At least
10 chains, most recent report first. The order is by date only; there is no ranking of organisations.
- Lack of follow-up on mental health history and drug overdose
Practice Plus Group · Company or provider
2 reports · 1 coronerClosely relatedConfidence 0.90 · high - Insufficient awareness of immersion pulmonary oedema risk for high bloodpressure
British Diving Safety Group · Company or provider
2 reports · 2 coronersIdentical hazardConfidence 0.92 · high - Inadequate ACCT training and knowledge gaps
Practice Plus Group · Company or provider
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Delayed ACCT case review and inadequate process management
Practice Plus Group · Company or provider
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate - Delayed CPR response due to inadequate training or faulty equipment
Practice Plus Group · Company or provider
2 reports · 2 coronersClosely relatedConfidence 0.70 · moderate - Delayed urgent referrals and escalations
Cumbria Health Limited · Company or provider
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Lack of audit and standard care plan implementation
The Priory Group · Company or provider
2 reports · 2 coronersClosely relatedConfidence 0.90 · high - Inadequate falls risk assessment update
Cole Valley Care Limited · Company or provider
2 reports · 1 coronerClosely relatedConfidence 0.85 · high - Inadequate nighttime patient observation documentation
The Priory Group · Company or provider
2 reports · 2 coronersIdentical hazardConfidence 0.90 · high - Insufficient barriers on elevated structures allowing jumps
Hammerson Plc · Company or provider
2 reports · 2 coronersClosely relatedConfidence 0.80 · moderate