All included reports

112 reports are fully extracted in the current focused series. This catalogue is generated from the canonical included-case dataset. Inclusion means the report contains a relevant digital, electronic-record, information-flow or health-IT concern under the review protocol; it does not mean the digital issue caused the death.

Evidence-base guide · Corpus profile · Assurance and uncertainty · Case–mechanism/evidence map

Browse by workflow

Each report has one conservative primary workflow grouping for browsing and retains all non-exclusive sociotechnical mechanism codes.

Diagnostic results and investigations

• Stephen Rhodes — 2026-0083 (SRC-001; 2026-02-06; Laboratory, radiology or diagnostic service → Primary care; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, ALERT)
• Eric Thompson — 2024-0323 (SRC-019; 2024-06-14; Laboratory, radiology or diagnostic service → Secondary acute or outpatient care; Multiple care settings; mechanisms: LOOP, GOV, VIS, ALERT, RES)
• Bernard Compton — 2024-0304 (SRC-073; 2024-06-05; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, HF, ALERT)
• Michael Nye — 2024-0082 (SRC-044; 2024-02-13; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, HF, ALERT, RES)
• Sebastian Daniels — 2023-0346 (SRC-050; 2023-09-22; Secondary acute or outpatient care → Primary care; Multiple care settings; mechanisms: LOOP, VIS, HF, ALERT)
• Lee Dryden — 2025-0402 (SRC-213; 2023-08-02; Laboratory, radiology or diagnostic service → Secondary acute or outpatient care; Multiple care settings; mechanisms: LOOP, GOV, HF, INT, ALERT, RES)
• Darran Busby — 2022-0011 (SRC-049; 2022-01-13; Laboratory, radiology or diagnostic service → Primary care; Multiple care settings; mechanisms: LOOP, VIS, HF, ALERT)
• Steven Welch — 2018-0267 (SRC-122; 2018-08-07; Laboratory, radiology or diagnostic service → Tertiary or specialist care; Multiple care settings; mechanisms: LOOP, GOV, INT, RES)
• Caliel Smith-Kwami — UNREF-2018-CALIEL-SMITH-KWAMI (SRC-106; 2018-01-22; Laboratory, radiology or diagnostic service → Acute paediatric care; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, ALERT)

Identity and population management

• Darryl Johnson — 2026-0152 (SRC-188; 2026-03-10; Patient or home → Ambulance, NHS 111 or urgent response; One care setting; mechanisms: GOV, HF, PROV, RES, IDPOP)
• Hannah Booth — 2025-0615 (SRC-046; 2025-12-09; Multiple settings or services → Community mental-health care; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT, PROV, IDPOP)
• Samuel Jordan — 2024-0056 (SRC-021; 2024-02-02; Primary care → Prison, custody or secure healthcare; Multiple care settings; mechanisms: GOV, VIS, INT, IDPOP)

Medication and prescribing

• John Fisher — 2026-0166 (SRC-053; 2026-03-19; Community health or rehabilitation → Social care, care home or supported living; Multiple care settings; mechanisms: LOOP, HF, INT, PROV)
• Roger Smith — 2026-0069 (SRC-194; 2026-02-06; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, GOV, VIS, HF, ALERT)
• Lyn Maher — 2026-0053 (SRC-196; 2026-02-03; Multiple settings or services → Pharmacy or dispensing service; Multiple care settings; mechanisms: GOV, VIS, INT, ALERT)
• Avery Hall — 2026-0048 (SRC-056; 2026-02-02; Primary care → Primary care; One care setting; mechanisms: LOOP, GOV, ALERT, IDPOP)
• Valerie Gibson — 2025-0630 (SRC-043; 2025-12-17; Inpatient or secure mental-health care → Inpatient or secure mental-health care; One care setting; mechanisms: LOOP, GOV, HF, INT, PROV)
• Alan Mitchell — 2025-0577 (SRC-203; 2025-11-10; Primary care → Primary care; One care setting; mechanisms: LOOP, GOV, ALERT, PROV)
• Paula Doreen Hughes — 2025-0511 (SRC-041; 2025-10-14; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, GOV, HF, ALERT)
• Thompson Elliott — 2025-0515 (SRC-206; 2025-10-14; Secondary acute or outpatient care → Social care, care home or supported living; Multiple care settings; mechanisms: LOOP, GOV, HF, INT, PROV)
• Venetia Pierce — 2025-0427 (SRC-210; 2025-08-19; National programme or service → Primary care; One care setting; mechanisms: GOV, INT, ALERT)
• Margaret McNaughton — 2025-0397 (SRC-214; 2025-08-01; Multiple settings or services → Secondary acute or outpatient care; Multiple care settings; mechanisms: GOV, VIS, HF, INT, ALERT, PROV)
• Jason Clemens — 2025-0336 (SRC-217; 2025-07-02; Secondary acute or outpatient care → Secondary acute or outpatient care; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, ALERT)
• Chloe Burgess — 2025-0121 (SRC-055; 2025-03-04; Unclear → Multiple settings or services; Multiple care settings; mechanisms: GOV, VIS, ALERT)
• Oliver Billings — 2024-0656 (SRC-042; 2024-11-28; Primary care → Pharmacy or dispensing service; Multiple care settings; mechanisms: LOOP, VIS, INT, RES)
• Tracy McCarthy — 2024-0280 (SRC-072; 2024-05-21; Secondary acute or outpatient care → Primary care; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, ALERT, PROV)
• John Singleton — 2024-0126 (SRC-062; 2023-11-16; Prison, custody or secure healthcare → Prison, custody or secure healthcare; One care setting; mechanisms: LOOP, GOV, VIS, ALERT, IDPOP)
• Jason Bayley — 2023-0392 (SRC-063; 2023-10-17; Inpatient or secure mental-health care → Inpatient or secure mental-health care; One care setting; mechanisms: LOOP, GOV, VIS, HF, INT, ALERT, PROV)
• Audrey King — 2023-0312 (SRC-022; 2023-08-22; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, VIS, HF, ALERT, PROV)
• Colin Greenway — 2023-0252 (SRC-040; 2023-07-18; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, GOV, HF, ALERT)
• John James — 2023-0242 (SRC-057; 2023-07-11; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, VIS, ALERT)
• Ania Sohail — 2023-0046 (SRC-064; 2023-02-07; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, ALERT, PROV)
• Donald Compton — 2022-0090 (SRC-054; 2022-03-20; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: GOV, VIS, HF, ALERT)
• Marian Grant — UNREF-2018-MARIAN-GRANT (SRC-125; 2018-09-15; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, VIS, HF, ALERT)
• Michael Drewell — 2018-0259 (SRC-121; 2018-08-30; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, VIS, HF, PROV)
• Karl Willis — 2018-0256 (SRC-128; 2018-08-24; Multiple settings or services → Pharmacy or dispensing service; Multiple care settings; mechanisms: LOOP, GOV, HF, INT, ALERT)
• Cuthbert Hingert — 2018-0280 (SRC-123; 2018-08-01; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: GOV, VIS, HF, ALERT)
• Darren Carrington — 2018-0181 (SRC-118; 2018-06-15; Patient or home → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, HF, ALERT)
• Brian Bicat — 2018-0277 (SRC-124; 2018-05-29; National programme or service → Primary care; One care setting; mechanisms: GOV, INT, ALERT)
• Pauline Pryor — 2018-0009 (SRC-107; 2018-01-12; Multiple settings or services → Primary care; Multiple care settings; mechanisms: LOOP, GOV, INT, ALERT, RES)

Messaging, tasking and follow-up

• Stephen Stringer — 2024-0555 (SRC-014; 2024-10-15; Patient or home → Primary care; One care setting; mechanisms: LOOP, GOV, VIS, HF, PROV)
• Jennifer Trigger — 2024-0116 (SRC-051; 2024-03-01; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, VIS, HF, RES)
• Paul Price — UNREF-2018-PAUL-PRICE (SRC-126; 2018-09-19; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, INT, RES)

Record access and continuity

• Joseph Cooper — 2026-0237 (SRC-183; 2026-04-30; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: GOV, VIS, INT)
• Theresa Lydon — 2026-0244 (SRC-048; 2026-04-21; Secondary acute or outpatient care → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT)
• Akhona Moyo — 2026-0045 (SRC-065; 2026-01-28; Primary care → Acute paediatric care; Multiple care settings; mechanisms: GOV, VIS, HF, INT)
• Ethel Robertson — 2025-0584 (SRC-202; 2025-11-17; Secondary acute or outpatient care → Community mental-health care; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT)
• Gloria Simon — 2025-0554 (SRC-204; 2025-10-31; Social care, care home or supported living → Primary care; Multiple care settings; mechanisms: GOV, VIS, HF, PROV)
• John Bell — 2025-0410 (SRC-212; 2025-08-04; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, GOV, VIS, HF)
• John Spencer — 2025-0232 (SRC-045; 2025-05-19; Primary care → Primary care; Multiple care settings; mechanisms: GOV, VIS, INT)
• Emma Sanders — 2024-0646 (SRC-038; 2024-11-26; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT)
• Lily Jahany — 2024-0273 (SRC-039; 2024-05-17; Private healthcare provider → Community mental-health care; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT)
• Stephen Cassidy — 2023-0337 (SRC-020; 2023-09-19; Primary care → Secondary acute or outpatient care; Multiple care settings; mechanisms: GOV, VIS, HF, INT)
• Jack Farrington — 2023-0436 (SRC-058; 2023-09-14; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT, PROV, RES)
• John Hazlewood — 2018-0189 (SRC-119; 2018-06-21; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, INT, PROV, RES)
• Grahame Searby — 2018-0162 (SRC-115; 2018-05-23; Primary care → Community mental-health care; Multiple care settings; mechanisms: GOV, VIS, INT)
• David Buttriss — 2018-0010 (SRC-108; 2018-01-12; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: GOV, VIS, INT, RES)

Record integrity and provenance

• Delwyn Preece — 2026-0165 (SRC-187; 2026-03-17; Inpatient or secure mental-health care → Inpatient or secure mental-health care; One care setting; mechanisms: GOV, VIS, HF, PROV)
• Alan Peet — 2025-0609 (SRC-221; 2025-12-05; Social care, care home or supported living → Social care, care home or supported living; One care setting; mechanisms: GOV, HF, PROV, RES)
• Ethel Reed — 2024-0076 (SRC-069; 2024-02-08; Secondary acute or outpatient care → Community health or rehabilitation; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, PROV)
• Alexander Braund — 2022-0407 (SRC-003; 2022-12-20; Prison, custody or secure healthcare → Police, local authority or other non-health agency; One care setting; mechanisms: GOV, VIS, PROV)
• Deceased name redacted — 2018-0405 (SRC-127; 2018-12-21; Community mental-health care → Community mental-health care; One care setting; mechanisms: GOV, VIS, HF, PROV)
• Joan Lunt — 2018-0164 (SRC-116; 2018-05-29; Social care, care home or supported living → Social care, care home or supported living; One care setting; mechanisms: GOV, HF, PROV)

Referral, handover and transfer

• Paul Harries — 2026-0242 (SRC-184; 2026-04-20; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, PROV)
• Gareth Chumber-Kelly — 2026-0073 (SRC-193; 2026-02-09; Multiple settings or services → Prison, custody or secure healthcare; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT, PROV, RES)
• Colin Brown — 2025-0642 (SRC-201; 2025-12-23; Multiple settings or services → Secondary acute or outpatient care; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, RES)
• Amy Cross — 2025-0531 (SRC-219; 2025-10-22; Multiple settings or services → Prison, custody or secure healthcare; Multiple care settings; mechanisms: LOOP, GOV, INT, PROV)
• Francis Barnes — 2023-0417 (SRC-059; 2023-10-27; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, INT, PROV)
• Michael Amesbury — 2023-0259 (SRC-052; 2023-07-19; Secondary acute or outpatient care → Tertiary or specialist care; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT)
• Morris Reddington — 2021-0312 (SRC-004; 2021-05-21; Ambulance, NHS 111 or urgent response → Secondary acute or outpatient care; Multiple care settings; mechanisms: LOOP, GOV, HF, INT, RES)
• Michalla Sweeting — 2018-0165 (SRC-117; 2018-05-21; Prison, custody or secure healthcare → Prison, custody or secure healthcare; One care setting; mechanisms: LOOP, VIS, HF, PROV)
• Adrian Jennings — 2018-0111 (SRC-111; 2018-04-19; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, HF, INT)

Risk, care planning and safeguarding

• Amy Chapman — 2026-0247 (SRC-182; 2026-04-27; Community mental-health care → Community mental-health care; One care setting; mechanisms: LOOP, GOV, VIS, HF, ALERT, PROV)
• Edward Muwanga — 2026-0235 (SRC-067; 2026-04-24; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, ALERT)
• Jonathan Thornton — 2026-0200 (SRC-066; 2026-04-08; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, ALERT)
• Ruairi Stewart — 2026-0138 (SRC-190; 2026-03-10; Private healthcare provider → Private healthcare provider; One care setting; mechanisms: LOOP, GOV, VIS, INT, PROV)
• Emma Turner — 2026-0115 (SRC-191; 2026-02-25; Multiple settings or services → Social care, care home or supported living; Multiple care settings; mechanisms: GOV, VIS, HF, INT, PROV)
• Nigel Feckey — 2026-0047 (SRC-197; 2026-01-28; Multiple settings or services → Multiple settings or services; One care setting; mechanisms: LOOP, GOV, VIS, HF, INT, RES)
• Stuart Berry — 2026-0015 (SRC-199; 2026-01-12; Multiple settings or services → Prison, custody or secure healthcare; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, PROV)
• Anthony Card — 2026-0068 (SRC-195; 2025-11-07; Police, local authority or other non-health agency → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, INT)
• Jillian Steedman — 2025-0506 (SRC-207; 2025-10-10; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT, PROV)
• James Cochrane — 2025-0454 (SRC-209; 2025-09-05; Patient or home → Community mental-health care; One care setting; mechanisms: GOV, VIS, HF, PROV)
• Jessica Smithson — 2025-0415 (SRC-211; 2025-08-08; Patient or home → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, INT, RES, IDPOP)
• Myles Scriven — 2025-0357 (SRC-215; 2025-07-11; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, GOV, VIS, HF)
• Darren Turner — 2025-0144 (SRC-047; 2025-03-17; Inpatient or secure mental-health care → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, PROV, IDPOP)
• Anthony Binfield; David Richards; Rolandas Karbauskas — 2025-0079 (SRC-074; 2025-02-07; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, PROV, RES)
• Tammy Milward — 2025-0027 (SRC-075; 2025-01-15; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT)
• Greg Hutchins — 2018-0129 (SRC-112; 2018-09-12; Community mental-health care → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, INT, PROV)
• Jacob Sulaiman — 2018-0252 (SRC-120; 2018-07-06; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, INT)
• Joanne Richardson — 2018-0134 (SRC-113; 2018-05-08; Community mental-health care → Community mental-health care; One care setting; mechanisms: LOOP, GOV, VIS, INT)
• Stephen Tidey — 2018-0140 (SRC-114; 2018-05-08; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, INT, PROV, RES)
• Patricia Heslop — 2018-0102 (SRC-110; 2018-04-12; Social care, care home or supported living → Multiple settings or services; Multiple care settings; mechanisms: GOV, HF, INT, PROV)

Screening and longitudinal surveillance

• Rachelle Ross — 2023-0067 (SRC-002; 2023-02-17; National programme or service → Primary care; One care setting; mechanisms: LOOP, GOV, INT, ALERT, IDPOP)
• Hugo Carlos — 2023-0038 (SRC-061; 2023-02-01; Primary care → Primary care; One care setting; mechanisms: LOOP, GOV, VIS, HF, ALERT, IDPOP)
• Margaret Spencer — UNREF-2018-MARGARET-SPENCER (SRC-109; 2018-03-29; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, GOV, HF, RES)

Triage, observations and decision support

• Kenneth Cully — 2026-0248 (SRC-181; 2026-04-30; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, HF, ALERT, PROV)
• Kiefer Fraser-Phillips — 2026-0216 (SRC-185; 2026-04-14; Inpatient or secure mental-health care → Inpatient or secure mental-health care; One care setting; mechanisms: GOV, HF, PROV, RES)
• Hollie Loraine — 2026-0193 (SRC-186; 2026-04-01; Patient or home → Ambulance, NHS 111 or urgent response; One care setting; mechanisms: LOOP, GOV, HF, ALERT)
• Ethan Hanson — 2026-0229 (SRC-071; 2026-03-30; Primary care → Acute paediatric care; Multiple care settings; mechanisms: GOV, HF, INT, ALERT, PROV)
• Roman Barr — 2026-0148 (SRC-189; 2026-03-04; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, HF, ALERT)
• Elise Sebastian — 2026-0078 (SRC-192; 2026-02-08; Inpatient or secure mental-health care → Inpatient or secure mental-health care; One care setting; mechanisms: LOOP, GOV, HF, ALERT, PROV, RES)
• Pippa Gillibrand — 2026-0042 (SRC-198; 2026-01-27; Community maternity care → Community maternity care; Multiple care settings; mechanisms: GOV, VIS, HF, RES)
• Robert Gracey — 2026-0004 (SRC-200; 2026-01-06; Police, local authority or other non-health agency → Ambulance, NHS 111 or urgent response; One care setting; mechanisms: GOV, HF, ALERT)
• Theo Tuikubulau — 2026-0006 (SRC-070; 2026-01-06; Patient or home → Ambulance, NHS 111 or urgent response; One care setting; mechanisms: GOV, HF, ALERT)
• Stephen Neville — 2025-0556 (SRC-220; 2025-10-24; Multiple settings or services → Inpatient or secure mental-health care; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, PROV)
• Melanie Walker — 2025-0529 (SRC-205; 2025-10-17; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: GOV, HF, ALERT, RES)
• Derek Crowther — 2025-0500 (SRC-208; 2025-10-09; Inpatient or secure mental-health care → Inpatient or secure mental-health care; One care setting; mechanisms: GOV, VIS, PROV, RES)
• Miles Robinson — 2025-0340 (SRC-216; 2025-07-08; Patient or home → Ambulance, NHS 111 or urgent response; One care setting; mechanisms: GOV, HF, ALERT)
• Thomas Mallinson — 2025-0333 (SRC-218; 2025-06-30; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, INT, ALERT, RES)
• Elton Deutekom — 2024-0660 (SRC-068; 2024-12-02; Multiple settings or services → Multiple settings or services; Multiple care settings; mechanisms: LOOP, GOV, VIS, HF, INT, PROV)
• Christopher Collinson — 2021-0361 (SRC-060; 2021-10-26; Secondary acute or outpatient care → Secondary acute or outpatient care; One care setting; mechanisms: LOOP, GOV, VIS, HF, ALERT)
• Mavis Reeves — 2018-0035 (SRC-129; 2018-02-06; Patient or home → Ambulance, NHS 111 or urgent response; One care setting; mechanisms: GOV, VIS, HF, RES)

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