Corrective & Preventive Actions (CAPA)
640 of 640 actionsClassification of actions across Elimination, Substitution, Engineering, Administrative, and Training.
Hierarchy of Controls Strength Distribution
0eliminationHigh Reliability
31substitutionHigh Reliability
171engineeringProcedural / Human
311administrativeProcedural / Human
127trainingProcedural / Human
CAPA-2026-0001·engineering TierGeneral Medicine
Install anti-slip high-traction flooring strips and additional grab rails in Ward 4C patient en-suite bathrooms.
Owner: Dr. Richard Davies (Ward Sister) · Target Due: 2025-04-15
closed
CAPA-2026-0002·administrative TierFacilities
Implement systemic safeguard against medical equipment & devices: standardized protocol enforcement and hardware interlock.
Owner: Dr. Marcus Sterling (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0001Independent clinical record audit & recurrence monitoringScheduled: 2026-08-23
CAPA-2026-0003·training TierRadiology
Implement systemic safeguard against clinical documentation & consent: standardized protocol enforcement and hardware interlock.
Owner: Pharm. Priya Nair (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0002Independent clinical record audit & recurrence monitoringScheduled: 2026-08-28
CAPA-2026-0004·administrative TierPharmacy
Implement systemic safeguard against infection prevention & control: standardized protocol enforcement and hardware interlock.
Owner: Dr. Thomas Keller (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0003Independent clinical record audit & recurrence monitoringScheduled: 2026-08-31
CAPA-2026-0005·engineering TierFacilities
Implement systemic safeguard against clinical process & handover: standardized protocol enforcement and hardware interlock.
Owner: Dr. Sarah Jenkins (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0004Independent clinical record audit & recurrence monitoringScheduled: 2026-09-04
CAPA-2026-0006·administrative TierGeneral Medicine
Implement systemic safeguard against surgical & invasive procedures: standardized protocol enforcement and hardware interlock.
Owner: Eng. David O'Connor (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0005Independent clinical record audit & recurrence monitoringScheduled: 2026-09-05
CAPA-2026-0007·training TierEmergency
Implement systemic safeguard against environmental safety: standardized protocol enforcement and hardware interlock.
Owner: Dr. Rebecca Ross (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0006Independent clinical record audit & recurrence monitoringScheduled: 2026-09-06
CAPA-2026-0008·administrative TierMaternity
Implement systemic safeguard against medication & iv fluids: standardized protocol enforcement and hardware interlock.
Owner: Dr. Simon Bradley (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0007Independent clinical record audit & recurrence monitoringScheduled: 2026-09-07
CAPA-2026-0009·training TierMaternity
Implement systemic safeguard against patient falls: standardized protocol enforcement and hardware interlock.
Owner: Dr. Arthur Pendelton (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0008Independent clinical record audit & recurrence monitoringScheduled: 2026-09-08
CAPA-2026-0010·engineering TierEmergency
Implement systemic safeguard against medical equipment & devices: standardized protocol enforcement and hardware interlock.
Owner: Claire Dupont (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0009Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0011·training TierFacilities
Implement systemic safeguard against clinical documentation & consent: standardized protocol enforcement and hardware interlock.
Owner: Jonathan Ray (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0010Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0012·administrative TierPathology
Implement systemic safeguard against infection prevention & control: standardized protocol enforcement and hardware interlock.
Owner: Rachel Stern (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0011Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0013·training TierPathology
Implement systemic safeguard against clinical process & handover: standardized protocol enforcement and hardware interlock.
Owner: Fiona Gallagher (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0012Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0014·administrative TierRadiology
Implement systemic safeguard against surgical & invasive procedures: standardized protocol enforcement and hardware interlock.
Owner: Dr. Eleanor Vance (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0013Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0015·engineering TierMaternity
Implement systemic safeguard against environmental safety: standardized protocol enforcement and hardware interlock.
Owner: Dr. Benjamin Cole (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0014Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0016·administrative TierEmergency
Implement systemic safeguard against medication & iv fluids: standardized protocol enforcement and hardware interlock.
Owner: Martin Lindqvist (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0015Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0017·training TierPharmacy
Implement systemic safeguard against patient falls: standardized protocol enforcement and hardware interlock.
Owner: Tariq Mansour (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0016Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0018·administrative TierPharmacy
Implement systemic safeguard against medical equipment & devices: standardized protocol enforcement and hardware interlock.
Owner: Sister Beatrice Miller (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0017Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0019·training TierPharmacy
Implement systemic safeguard against clinical documentation & consent: standardized protocol enforcement and hardware interlock.
Owner: Dr. Richard Davies (Clinical Lead) · Target Due: 2026-09-17
Slip: 90% (High Risk)draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0018Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0020·engineering TierEmergency
Implement systemic safeguard against infection prevention & control: standardized protocol enforcement and hardware interlock.
Owner: Nurse Kevin Doyle (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0019Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0021·training TierMaternity
Implement systemic safeguard against clinical process & handover: standardized protocol enforcement and hardware interlock.
Owner: Nurse Anita Patel (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0020Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0022·administrative TierPharmacy
Implement systemic safeguard against surgical & invasive procedures: standardized protocol enforcement and hardware interlock.
Owner: Staff Nurse Liam Walsh (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0021Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0023·training TierRadiology
Implement systemic safeguard against environmental safety: standardized protocol enforcement and hardware interlock.
Owner: Nurse Chloe Moreau (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0022Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0024·administrative TierFacilities
Implement systemic safeguard against medication & iv fluids: standardized protocol enforcement and hardware interlock.
Owner: Dr. Tariq Al-Mansoor (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0023Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0025·engineering TierRadiology
Implement systemic safeguard against patient falls: standardized protocol enforcement and hardware interlock.
Owner: Nurse Samuel Osei (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0024Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0026·administrative TierRadiology
Implement systemic safeguard against medical equipment & devices: standardized protocol enforcement and hardware interlock.
Owner: Dr. Jessica Thorne (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0025Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0027·training TierEmergency
Implement systemic safeguard against clinical documentation & consent: standardized protocol enforcement and hardware interlock.
Owner: Nurse Hannah Lind (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0026Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0028·administrative TierFacilities
Implement systemic safeguard against infection prevention & control: standardized protocol enforcement and hardware interlock.
Owner: Pharm. Brian Connolly (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0027Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0029·training TierEmergency
Implement systemic safeguard against clinical process & handover: standardized protocol enforcement and hardware interlock.
Owner: Pharm. Tech Elena Rostova (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0028Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0030·engineering TierFacilities
Implement systemic safeguard against surgical & invasive procedures: standardized protocol enforcement and hardware interlock.
Owner: Nurse Daniel Craigie (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0029Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0031·training TierEmergency
Implement systemic safeguard against environmental safety: standardized protocol enforcement and hardware interlock.
Owner: Nurse Maria Santos (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0030Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0032·administrative TierFacilities
Implement systemic safeguard against medication & iv fluids: standardized protocol enforcement and hardware interlock.
Owner: Dr. Gregory Houseman (Clinical Lead) · Target Due: 2026-09-17
draft
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0031Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0033·training TierICU
Implement systemic safeguard against patient falls: standardized protocol enforcement and hardware interlock.
Owner: Dr. Richard Davies (Clinical Lead) · Target Due: 2026-09-10
Slip: 90% (High Risk)pending approval
Unavailable: Assigned approver Dr. Richard Davies is on extended clinical leave until 28 Sep 2026
How to unblock: Dr. Davies return on 28 Sep 2026 or reassigning to Department Head
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0032Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0034·administrative TierMaternity
Implement systemic safeguard against medical equipment & devices: standardized protocol enforcement and hardware interlock.
Owner: Dr. Richard Davies (Clinical Lead) · Target Due: 2026-09-10
Slip: 90% (High Risk)pending approval
Unavailable: Assigned approver Dr. Richard Davies is on extended clinical leave until 28 Sep 2026
How to unblock: Dr. Davies return on 28 Sep 2026 or reassigning to Department Head
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0033Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0035·engineering TierMaternity
Implement systemic safeguard against clinical documentation & consent: standardized protocol enforcement and hardware interlock.
Owner: Nurse Fiona MacLeod (Clinical Lead) · Target Due: 2026-09-10
pending approval
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0034Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0036·administrative TierEmergency
Implement systemic safeguard against infection prevention & control: standardized protocol enforcement and hardware interlock.
Owner: Midwife Emma Watson (Clinical Lead) · Target Due: 2026-09-10
pending approval
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0035Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0037·training TierPharmacy
Implement systemic safeguard against clinical process & handover: standardized protocol enforcement and hardware interlock.
Owner: Midwife Aisha Khan (Clinical Lead) · Target Due: 2026-09-10
pending approval
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0036Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0038·administrative TierEmergency
Implement systemic safeguard against surgical & invasive procedures: standardized protocol enforcement and hardware interlock.
Owner: Tech Lucas Meyer (Clinical Lead) · Target Due: 2026-09-10
pending approval
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0037Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0039·training TierSurgical
Implement systemic safeguard against environmental safety: standardized protocol enforcement and hardware interlock.
Owner: Tech Sean Gallagher (Clinical Lead) · Target Due: 2026-09-10
Slip: 45% (Moderate Risk)pending approval
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0038Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective
CAPA-2026-0040·engineering TierSurgical
Implement systemic safeguard against medication & iv fluids: standardized protocol enforcement and hardware interlock.
Owner: Radiographer Zoe Collins (Clinical Lead) · Target Due: 2026-09-10
pending approval
Scheduled Effectiveness Checks (1)Metric: Zero recurrence of identical failure mode within 90-day observation window (90 days)
CHK-2026-0039Independent clinical record audit & recurrence monitoringScheduled: 2026-08-04
effective