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Unreliable safeguarding response to medication maladministration 3 3 12 Nov 2025 Failure to prevent duplicate or discontinued medication prescriptions 10 19 14 Oct 2025 Unsafe disposal of medication 6 8 24 Jun 2026 Unreliable medication storage and access controls 2 5 30 Dec 2019 Medication quantity controls failing to prevent unsafe access to excessive amounts 29 42 27 Oct 2025 Failure to recognise medication-related pulmonary toxicity 3 8 19 Aug 2025 Inadequate communication of opioid toxicity risks 4 12 31 Mar 2025 Unreliable support for patients taking prescribed medication 9 19 2 Apr 2026 Private mental-health providers failing to obtain relevant clinical information 2 5 24 Jul 2019 Unreliable sedation guidance and practice 6 11 13 May 2024 Failure to provide urgent support and safety-netting for adrenal crisis risk 2 6 26 Jan 2024 Unreliable methotrexate safety information and guidance 2 2 20 Feb 2026 Unreliable management of medication doses not taken 12 18 11 Mar 2025 Unreliable implementation of medication changes 22 31 8 Feb 2026 Failure to maintain uninterrupted access to clinically necessary medication 4 8 19 Mar 2026 Unsafe amiodarone treatment management 3 4 20 Mar 2022 Unreliable communication between pharmacies and clinical teams 4 11 18 Aug 2023 Medication dispensing and dispatch errors not reliably detected 5 12 28 Nov 2024 Unreliable product safety recall and remediation processes 7 25 11 Jan 2023 Unreliable medication supervision and escalation for mental health patients 3 3 8 Feb 2026 Failure to ensure medication packaging is clearly distinguishable 4 14 2 Jun 2024 Inadequate anaphylaxis safety education for patients, parents and schools 5 22 20 Aug 2024 Unreliable clinician management of medication side effects 11 18 3 Jun 2026 Unreliable metabolic monitoring for patients taking antipsychotic medication 3 4 9 Jul 2015 Unreliable provision of safety-critical patient information to paramedics 12 15 28 Apr 2023