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Metropolitan General Hospital · 420 beds

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INC-2026-0361·Closed

Patient fall event (Bathroom fall) in Triage

Occurred: 2025-05-19T20:17 UTC · Reported: 2025-05-23T03:17 UTC

8Low
DepartmentEmergency
Unit & RoomTriage · Bay 2
Harm Levelnone
Patient ReferenceNone

Clinical Narrative & Synthesized Abstract

Synthesized Abstract: At 20:17 UTC in Triage, a none safety event occurred involving bathroom fall. The incident was assigned preliminary risk score 8 in the Low band.

Patient slipped in Triage at 20:17 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+3
Detection Lag+3
External Reportability+0
Human Clinical Override Active

Score overridden from 8 to 1 by Dr. Tariq Al-Mansoor on 2025-05-23.

"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.

3 matches
INC-2026-0241100% match

Patient fall event (Bathroom fall) in Triage

Triage2025-04-24
INC-2026-0401100% match

Patient fall event (Bathroom fall) in Triage

Triage2025-05-28
INC-2026-0481100% match

Patient fall event (Bathroom fall) in Triage

Triage2025-06-14

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-2026-0361administrative TierDue: 2025-11-28

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

closed

Parties Involved (3)

Masked by default per governance protocol
reporterreporter [Masked]
involved staffStaff Member [0991]
witnesswitness [Masked]

Handover & Action Notes (2)

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

Radiographer Neil Armstrong (Radiographer)2025-05-23T03:17 UTC

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

Tariq Mansour (System administrator)2025-05-23T03:17 UTC