Environmental safety hazard (Water supply fluctuation) in Recovery
Occurred: 2025-03-13T11:17 UTC · Reported: 2025-03-18T01:17 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 11:17 UTC in Recovery, a moderate safety event occurred involving water supply fluctuation. The incident was assigned preliminary risk score 32 in the Moderate band.
At 11:17 in Recovery, staff observed water supply fluctuation 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 Surgical
Semantic similarity calculated across category, location, and clinical narrative keywords.
Environmental safety hazard (Water supply fluctuation) in Recovery
Environmental safety hazard (Water supply fluctuation) in Recovery
Environmental safety hazard (Water supply fluctuation) in Recovery
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)
Patient and family briefed by consultant regarding sequence of events; open disclosure logged.
Patient and family briefed by consultant regarding sequence of events; open disclosure logged.