Patient fall event (Bathroom fall) in Plant & Utilities
Occurred: 2025-03-30T05:19 UTC · Reported: 2025-04-02T13:19 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 05:19 UTC in Plant & Utilities, a severe safety event occurred involving bathroom fall. The incident was assigned preliminary risk score 60 in the Severe band.
Patient slipped in Plant & Utilities at 05:19 during bathroom fall. Staff were in close proximity and assisted the patient immediately.
Risk Evaluation & Score Breakdown
Deterministic multi-term risk score from 1 to 100 derived from clinical harm, recurrence, and reporting lag.
Score overridden from 60 to 48 by Dr. Simon Bradley on 2025-04-02.
"Clinical assessment downgraded: immediate mitigating intervention prevented systemic patient exposure."
Top Similar Incidents in Facilities
Semantic similarity calculated across category, location, and clinical narrative keywords.
Patient fall event (Bathroom fall) in Plant & Utilities
Patient fall event (Bathroom fall) in Plant & Utilities
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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 patient falls: standardized protocol enforcement and hardware interlock.
Parties Involved (4)
Masked by default per governance protocolHandover & Action Notes (2)
Biomedical service checked unit. Error code reset after capacitor swap; recalibration certificate issued.
Biomedical service checked unit. Error code reset after capacitor swap; recalibration certificate issued.