Infection protocol variance (Sharps needle stick) in Resus
Occurred: 2025-03-12T15:17 UTC · Reported: 2025-03-16T11:17 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 15:17 UTC in Resus, a minor safety event occurred involving sharps needle stick. The incident was assigned preliminary risk score 18 in the Low band.
Routine surveillance check in Resus at 15:17 noted an issue involving sharps needle stick. The duty sister intercepted the procedure and rectified aseptic protocol.
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 Emergency
Semantic similarity calculated across category, location, and clinical narrative keywords.
Infection protocol variance (Sharps needle stick) in Resus
Infection protocol variance (Sharps needle stick) in Resus
Infection protocol variance (Sharps needle stick) in Resus
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 infection prevention & control: 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.