dicerra

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Welcome Back, May

You have submitted 2 incident reports this month. Ask Dicerra anything about your safety data, policies, or past incidents.

Incident Categories Analytics

Last 30 days · Updated May 21, 2026
Active submissions grouped by categories

Category 1 (Completed)

Safety checks successfully validated

Category 2 (Action Required)

Awaiting secondary clinical audit

Category 3 (In Review)

Pending board risk verification

#addictions medicine • #geriatric safety
15 TOTAL REPORTS
Recent Safety Incidents See all
Blood Product CHEO-2026-10492 • 2h ago

Transfusion Site Infiltration

During IV blood administration in Ward 3B, patient reported acute local burning sensation. Discovered minor infiltration...

Nurse Sarah Jenkins
#clinicalRisk
Fall/Injury CHEO-2026-09531 • Yesterday

Patient Slide Near Washroom 302

Patient Arthur Henderson slipped on wet linoleum outside washroom 302. No warning sign was posted at the time...

Officer Arthur Pendelton
#fallPrevention

Top 10 Issues & Solutions

Missed Lung Mass Follow-up

During workup for an orthopedic surgery, a routine chest X-ray was performed. A lung mass was noted by the radiologist, but missed by the primary clinic team...

Pap Test Indication Clarification

Young female patient received cervical screening without matching clinical history. Required additional review by cytologist before results could be loaded into system...

CHEO Safety Dashboard Overview

Real-time metrics, trend graphs, and incident analytics.

Jun 01, 2025 - May 31, 2026
146
Reports Submitted View details →
6
Reports In-Review View details →
112
Reports Completed View details →

Monthly Trend of Safety Report Severity Levels

No Harm Minor Harm Unknown Major Harm Death
50 40 30 20 10 0 Jun Aug Oct Dec Feb Apr

Safety Reports by General Event Types

Fall/Inj 52 IV/Vasc 38 Medication 29 Procedure 18 Other 9

Top Subtype Report Types

#1
Inpatient Fall from Bed 24 Safety Incidents
▲ 8%
#2
IV Infiltration / Leakage 19 Safety Incidents
▼ 2%
#3
Wrong Patient Medication 14 Safety Incidents
▲ 4%

Severity Level Distribution

146 Reports
No Harm (40%) Minor Harm (29%) Unknown (14%) Major Harm (14%) Death (3%)

Submission Method

Online Web Form 82 (56%)
Voice & AI Dictation 51 (35%)
Email / Manual Log 13 (9%)

dicerra

safety reporting simplified

My Submissions

View and edit your In Review, Action Required, and Completed incidents. Make adjustments to keep your contributions aligned, and stay connected with the reports you've shared.

HIGH RISK PATIENT BEHAVIOR In Review

General: High Risk Patient Behavior · Specific: Behavioural Issue

AI Answered
Event Date · 2026-03-04 Ref SRS-10204
Updated 07 May 2026, 23:53 View
FALL / INJURY In Review

General: Fall / Injury · Specific: Unwitnessed Patient Fall

Event Date · 2026-03-01 Ref SRS-10198
Updated 05 May 2026, 14:20 View
MEDICATION / IV FLUIDS In Review

General: Medication / IV Fluids · Specific: Wrong Dosage Administered

AI Answered
Event Date · 2026-02-25 Ref SRS-10187
Updated 03 May 2026, 09:15 View
INFECTION In Review

General: Infection Control · Specific: Healthcare-Associated MRSA

Event Date · 2026-02-18 Ref SRS-10176
Updated 01 May 2026, 16:30 View
WORKPLACE SAFETY / HAZARD In Review

General: Environmental Hazard · Specific: Wet Floor / Slip Risk

Event Date · 2026-02-14 Ref SRS-10168
Updated 29 Apr 2026, 11:45 View
HIGH RISK PATIENT BEHAVIOR In Review

General: High Risk Patient Behavior · Specific: Elopement Attempt

AI Answered
Event Date · 2026-02-10 Ref SRS-10159
Updated 27 Apr 2026, 08:00 View
FALL / INJURY In Review

General: Fall / Near Miss · Specific: Near Miss — Bed Rail

Event Date · 2026-02-05 Ref SRS-10152
Updated 24 Apr 2026, 15:30 View

Active Drafts

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Tracking ID Incident Type Status Last Edited Date Actions
CHEO-2026-10492 Blood Product - Administration Issue 0% 2026-05-21 13:14:17
CHEO-2026-09531 Diagnosis/Treatment - Allergic Reaction 6% 2026-05-21 13:12:44
CHEO-2026-38402 IV/Vascular Access - CVL Maintenance 0% 2026-05-21 13:11:34
CHEO-2026-40294 IV/Vascular Access - CVL maintenance ✨ 34% 2026-05-07 10:00:49
CHEO-2026-48912 Fall/Injury - Injury ✨ 64% 2026-05-07 09:53:29
CHEO-2026-09461 Fall/Injury - Fall ✨ ♦ 2026-05-07 09:46:02
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or
General Information
Type of Person Affected *
Inpatient
Did This Event Reach the Patient? *
Yes
Case Description *
The patient fell while attempting to transfer from bed to chair.
Severity Level (Reported) *
Minor Harm: Minimal symptoms / loss of function / harm. No / minimal intervention (minor treatment only needed).
Brief Summary of Effect on Patient *
The patient experienced a minor fall with a bruise on the right elbow.
Was Medication a Cause or a Contributing Factor? *
No
Were Supplies / Equipment a Contributing Factor?
Yes
Did Health IT Cause or Contribute to This Event?
Yes
Fall/Injury
Fall Witnessed?
Witnessed
Who Observed Fall?
Staff
Fall Risk Assessment Done on Admission?
Yes
Time of Last Fall Risk Assessment
0 to 12h
Last Fall Risk Assessment Score
High Risk
Fall Safety Precautions in Place at Time of Fall?
Yes
Type of Fall Safety Precautions in Place at Time of Fall
Bed in Low Position,Brakes On
What Is the Follow Up Plan?
Care Plan Reviewed / Revised
Common Details
When and Where Event Occurred :
Event Date *
2024-10-09
Event Time (00:00) *
14:45
Care / Service Area *
Medical Inpatient Units
Department
Medical Inpatient Units
Details of the Person Affected by the Event :
Person Affected MRN *
Answer the Question
Person Affected Date of Birth
Answer the Question
Person Affected Age
Answer the Question
Most Responsible Physician
Answer the Question
Person Affected First Name *
Answer the Question
Person Affected Last Name *
Answer the Question
Person Involved / Notified / Witnesses :
Party Involved Name
Answer the Question
Role at CHEO
Answer the Question
Attachments

dicerra

safety reporting simplified

My Investigations

Easily view and edit your In review, Submitted, and Action required incidents, and make adjustments to ensure your contributions align with preferences. Dive into your impact and stay connected with the content you have shared.

General Event Type: Fall/Injury, Specific Event Type: Fall

AI Answered

Event Date: 2026-05-06

08 May 2026, 02:36

General Event Type: Fall/Injury, Specific Event Type: Fall

AI Answered

Event Date: 2024-10-09

08 May 2026, 00:03

General Event Type: Fall/Injury, Specific Event Type: Fall

AI Answered

Event Date: 2024-10-09

08 May 2026, 00:03

General Event Type: Nutrition, Specific Event Type: Wrong Nutritional Product

AI Answered

Event Date: 2026-04-12

07 May 2026, 18:22

General Event Type: Medication / IV Fluids, Specific Event Type: Medication Error

AI Answered

Event Date: 2026-03-28

06 May 2026, 11:05

General Event Type: Infection, Specific Event Type: Hand Hygiene Protocol Breach

AI Answered

Event Date: 2026-02-14

05 May 2026, 09:47

General Event Type: Diagnosis/Treatment, Specific Event Type: Delayed Diagnosis

AI Answered

Event Date: 2026-01-30

04 May 2026, 14:19

General Event Type: Workplace Hazard, Specific Event Type: Slip / Trip

AI Answered

Event Date: 2026-01-22

03 May 2026, 08:55
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Draft Saved Successfully

Incident saved under ID CHEO-2026-89102