Environmental safety hazard (Vaccine fridge temperature excursion) in General X-Ray
Occurred: 2025-03-09T16:26 UTC · Reported: 2025-03-13T07:26 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 16:26 UTC in General X-Ray, a none safety event occurred involving vaccine fridge temperature excursion. The incident was assigned preliminary risk score 4 in the Low band.
At 16:26 in General X-Ray, staff observed vaccine fridge temperature excursion presenting potential slip or operational hazard. Area was isolated.
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 Radiology
Semantic similarity calculated across category, location, and clinical narrative keywords.
Environmental safety hazard (Vaccine fridge temperature excursion) in General X-Ray
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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 environmental safety: standardized protocol enforcement and hardware interlock.
Parties Involved (3)
Masked by default per governance protocolHandover & Action Notes (2)
Attending physician notified. Urgent plain film radiography reviewed; no cortical breach identified.
Attending physician notified. Urgent plain film radiography reviewed; no cortical breach identified.