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Metropolitan General Hospital · 420 beds

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INC-2026-0041·Closed

Patient fall event (Bathroom fall) in Medical Day Unit

Occurred: 2025-03-13T14:20 UTC · Reported: 2025-03-17T12:20 UTC

7Low
DepartmentGeneral Medicine
Unit & RoomMedical Day Unit · Bay 2
Harm Levelnone
Patient ReferencePT-1041

Clinical Narrative & Synthesized Abstract

Synthesized Abstract: At 14:20 UTC in Medical Day Unit, a none safety event occurred involving bathroom fall. The incident was assigned preliminary risk score 7 in the Low band.

Patient slipped in Medical Day Unit at 14:20 during bathroom fall. Staff were in close proximity and assisted the patient immediately.

Strong signal(92%)|Because:
What this could not see: Informal verbal handover notes prior to admission are unrecorded

Risk Evaluation & Score Breakdown

Deterministic multi-term risk score from 1 to 100 derived from clinical harm, recurrence, and reporting lag.

Harm Base Score+2
Patients Affected+0
Recurrence in Window+0
Department Baseline+2
Detection Lag+3
External Reportability+0

Top Similar Incidents in General Medicine

Semantic similarity calculated across category, location, and clinical narrative keywords.

3 matches
INC-2026-1121100% match

Patient fall event (Bathroom fall) in Medical Day Unit

Medical Day Unit2025-10-27
INC-2026-1841100% match

Patient fall event (Bathroom fall) in Medical Day Unit

Medical Day Unit2026-03-27
INC-2026-1961100% match

Patient fall event (Bathroom fall) in Medical Day Unit

Medical Day Unit2026-04-22

Root Cause Analysis & Safeguards Workspace

Open Interactive RCA Workspace

Explore 5 Whys causal pathways, 6-bone fishbone decomposition, and barrier analysis safeguards.

Corrective & Preventive Actions (1)

CAPA-2026-0041training TierDue: 2026-09-10

Implement systemic safeguard against patient falls: standardized protocol enforcement and hardware interlock.

pending approval

Parties Involved (3)

Masked by default per governance protocol
reporterreporter [Masked]
patientPatient 0111
involved staffStaff Member [0112]

Handover & Action Notes (2)

Biomedical service checked unit. Error code reset after capacitor swap; recalibration certificate issued.

Radiographer Neil Armstrong (Radiographer)2025-03-17T12:20 UTC

Biomedical service checked unit. Error code reset after capacitor swap; recalibration certificate issued.

Tariq Mansour (System administrator)2025-03-17T12:20 UTC