Patient fall event (Call-bell delay) in Aseptic Unit
Occurred: 2025-03-08T09:23 UTC · Reported: 2025-03-12T04:23 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 09:23 UTC in Aseptic Unit, a none safety event occurred involving call-bell delay. The incident was assigned preliminary risk score 6 in the Low band.
Patient slipped in Aseptic Unit at 09:23 during call-bell delay. 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 Pharmacy
Semantic similarity calculated across category, location, and clinical narrative keywords.
Patient fall event (Call-bell delay) in Aseptic Unit
Patient fall event (Call-bell delay) in Aseptic Unit
Patient fall event (Call-bell delay) in Aseptic Unit
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)
Secondary nurse verification countersigned. Clinical lead verified no hemodynamic deterioration.
Secondary nurse verification countersigned. Clinical lead verified no hemodynamic deterioration.