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Patient fell down on the floor, found in left lateral

Event position facing the window

Proximate Patient reached out a cup of water to drink. Patient fell


out of balance
Cause

Human Factors
Patient drag himself at the edge of the bed
Patient demand to walk
Processes Human factors
independently despite having
gidderism and postural BP drop at
Patient claims can manage himself times
Involved In
Not compliant of fall precaution
Proximate Cause
Patient able to put down the cotside by himself

Patient not compliant to instructions


and management

System Factors There is a space between the bed and the window over
the left side of the bed

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