Readiness Home
Incident IntelligenceClinical System

Metropolitan General Hospital · 420 beds

Report incident
Back to Incident INC-2026-0032
INC-2026-0032·Facilities (Sterile Supply (CSSD))

Root Cause Analysis: Medication protocol variance (Wrong route) in Sterile Supply (CSSD)

approved

Iterative interrogative technique to explore cause-and-effect relationships underlying the event.

5 Whys Causal Pathway Analysis

Progressive causal interrogation drilling from clinical symptom to systemic safeguard failure.