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recurance

Andrew Dickson

3 Sept 2018 · Coroner Chris Morris · Manchester (South)

The coroner's concerns

  1. 1. telephone triage doctor not seeing alert note at face-to-face consultation

    “The safety of the computer system as currently operated appears to be prefaced on the telephone triage doctor being the same clinician who sees the patient at a subsequent face- to-face consultation, and remembering the content of the alert note despite having had to undertake a multitude of other tasks in the meantime”

Responses

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  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • 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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