Patient fall event (Bathroom fall) in Triage
Occurred: 2025-04-24T12:38 UTC · Reported: 2025-04-28T21:38 UTC
Clinical Narrative & Synthesized Abstract
Synthesized Abstract: At 12:38 UTC in Triage, a near miss safety event occurred involving bathroom fall. The incident was assigned preliminary risk score 12 in the Low band.
Patient slipped in Triage at 12:38 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 12 to 1 by Martin Lindqvist on 2025-04-28.
"Clinical assessment downgraded: immediate mitigating intervention prevented systemic patient exposure."
Top Similar Incidents in Emergency
Semantic similarity calculated across category, location, and clinical narrative keywords.
Patient fall event (Bathroom fall) in Triage
Patient fall event (Bathroom fall) in Triage
Patient fall event (Bathroom fall) in Triage
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.