1 similar incident recorded in department 90-day window
Unwitnessed patient fall from bedside in MRI Unit
Occurred: 2025-03-10T01:38 UTC · Reported: 2025-03-14T19:38 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 01:38 UTC in MRI Unit, a near miss safety event occurred involving unwitnessed fall. The incident was assigned preliminary risk score 14 in the Low band.
At approximately 01:38, staff responding to a room sensor discovered patient on floor adjacent to bed. Patient stated they attempted to mobilize to bathroom independently without calling for assistance. Bed rails were in designated position, but anti-slip socks had been removed.
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.
Unwitnessed patient fall from bedside in MRI Unit
Unwitnessed patient fall from bedside in MRI Unit
Unwitnessed patient fall from bedside in MRI 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 (4)
Masked by default per governance protocolHandover & Action Notes (2)
Quarantine label placed on device #GH-800. Equipment pool supervisor requested replacement.
Quarantine label placed on device #GH-800. Equipment pool supervisor requested replacement.