Equipment discrepancy (Monitor battery failure) in Ultrasound
Occurred: 2025-03-10T23:57 UTC · Reported: 2025-03-15T00:57 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 23:57 UTC in Ultrasound, a minor safety event occurred involving monitor battery failure. The incident was assigned preliminary risk score 15 in the Low band.
Staff in Ultrasound identified that clinical equipment experienced monitor battery failure at 23:57. Clinical team verified patient safety and swapped device.
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.
Equipment discrepancy (Monitor battery failure) in Ultrasound
Equipment discrepancy (Monitor battery failure) in Ultrasound
Equipment discrepancy (Monitor battery failure) in Ultrasound
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 medical equipment & devices: standardized protocol enforcement and hardware interlock.
Parties Involved (2)
Masked by default per governance protocolHandover & Action Notes (2)
Discussed case at weekly multi-disciplinary quality committee; escalated to departmental risk register.
Discussed case at weekly multi-disciplinary quality committee; escalated to departmental risk register.