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Toxicity risks from excessive or combined medication use 10 16 29 Dec 2025 Failure to verify medication and dose before dispensing 4 6 17 Dec 2025 Unreliable detection and monitoring of prescription errors 3 6 17 Nov 2025 Inadequate controls for combined sedative medication toxicity 5 8 29 Dec 2025 Failure to reliably conduct clinically required medication reviews 31 49 8 Feb 2026 Failure to reliably detect and manage prolonged QTc syndrome 4 7 25 Nov 2025 Failure to reliably verify medication information during care assessments 6 16 19 Mar 2026 Unsafe rapid tranquillisation processes 5 7 17 Jun 2026 Insufficient care-home staffing capacity for residents’ required care 19 24 5 Dec 2025 Inadequate management of smoking-related fire risks in vulnerable people 6 10 3 Oct 2024 Inadequate controls for safe propofol use 2 9 29 Jan 2026 Unreliable prevention and response to adrenal crisis 6 10 13 Aug 2024 Failure to provide required medication promptly when clinically needed 32 39 17 Jun 2026 Unreliable access to clinically required medication during supply shortages 4 6 31 Mar 2025 Failure to reliably recognise and respond promptly to sepsis 52 63 27 Feb 2026 Unreliable access to patients’ medication histories 12 19 3 Feb 2026 Incomplete consideration of relevant factors in falls risk assessments 7 14 17 Nov 2023 Inadequate engagement with prisoners at risk from drug use 2 6 11 Mar 2026 Inadequate control of illicit substance use and supply in secure institutions 23 32 24 Mar 2026 Unsafe administration of intravascular contrast media 3 7 14 Mar 2025 Unsafe anticoagulant management 25 40 28 May 2026 Unsafe management of methadone treatment and intoxication risks 9 20 4 Mar 2024 Failure to reliably detect discrepancies between prescribed and administered medication 2 4 25 Nov 2021 Unsafe lithium treatment management 2 2 12 Oct 2023 Inadequate controls on the sale and online access to highly toxic substances 16 10 9 Jul 2025