Excluded age group reached triage

Three patients under 16 completed triage before the exclusion was shown.

Root cause

Exclusions shown after entry, not before

Method

5 whys · confirmed by Zak, 21 Sept

Contributing

Process: no release check for exclusionsTechnical: age asked late

Correction

Contacted the 3 families affected · done 19 Sept

Corrective

Age check moved to the first screen · release 2.3, 30 Sept

Preventive

Exclusions added to the release checklist · Change control workflow v3