Documentation variance (EMR allergy sync error) in Sterile Compounding
Occurred: 2025-03-08T08:00 UTC · Reported: 2025-03-11T22:00 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 08:00 UTC in Sterile Compounding, a minor safety event occurred involving emr allergy sync error. The incident was assigned preliminary risk score 16 in the Low band.
During procedural verification in Sterile Compounding at 08:00, team identified that emr allergy sync error was incomplete prior to commencement. Protocol was paused until validation was secured.
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.
Documentation variance (EMR allergy sync error) in Sterile Compounding
Documentation variance (EMR allergy sync error) in Sterile Compounding
Documentation variance (EMR allergy sync error) in Sterile Compounding
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 clinical documentation & consent: standardized protocol enforcement and hardware interlock.
Parties Involved (4)
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.