Patient fall event (Unassisted mobilization) in Labour & Delivery
Occurred: 2025-03-06T14:21 UTC · Reported: 2025-03-11T08:21 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 14:21 UTC in Labour & Delivery, a near miss safety event occurred involving unassisted mobilization. The incident was assigned preliminary risk score 8 in the Low band.
Patient slipped in Labour & Delivery at 14:21 during unassisted mobilization. Staff were in close proximity and assisted the patient immediately.
Risk Evaluation & Score Breakdown
Deterministic multi-term risk score from 1 to 100 derived from clinical harm, recurrence, and reporting lag.
Top Similar Incidents in Maternity
Semantic similarity calculated across category, location, and clinical narrative keywords.
Patient fall event (Unassisted mobilization) in Labour & Delivery
Patient fall event (Unassisted mobilization) in Postnatal Ward
Patient fall event (Unassisted mobilization) in NICU
Root Cause Analysis & Safeguards Workspace
Explore 5 Whys causal pathways, 6-bone fishbone decomposition, and barrier analysis safeguards.
Corrective & Preventive Actions (1)
Implement systemic safeguard against patient falls: standardized protocol enforcement and hardware interlock.
Parties Involved (3)
Masked by default per governance protocolHandover & Action Notes (2)
Patient and family briefed by consultant regarding sequence of events; open disclosure logged.
Patient and family briefed by consultant regarding sequence of events; open disclosure logged.