Vectis Safety
A full suite for healthcare safety — event reporting, EMR-grounded root cause analysis, and living risk registers — purpose-built for organizations that take learning from failure seriously.
Three Tools. One Platform.
A structured, low-friction way for staff at any level to report safety events, near misses, and unsafe conditions. Designed to maximize reporting volume — because every event you don't hear about is a learning opportunity lost.
Run structured root cause analyses with built-in frameworks — fishbone, 5 Whys, fault tree, contributing factors. Capture the full investigation, surface contributing factors, and translate findings into action plans that close.
Identify, score, and track operational risks proactively. Maintain a living risk register with severity, likelihood, and ownership — and link mitigation efforts directly to active improvement projects in Vectis Ops.
Why It Matters
Reports fragment across email, paper forms, and ticketing systems. Root cause analyses get filed away. Risk registers age out of relevance. Action plans don't close. The lessons exist — they just don't transfer.
Vectis Safety captures the full lifecycle of a safety event in one place: from the moment an issue is reported, through structured investigation, through corrective action, all the way back into operational improvement. Nothing is lost. Patterns become visible. Learning compounds.
Designed to integrate directly with Vectis Ops — so when an RCA recommends process change, that change becomes a tracked improvement project with PDSA cycles, run charts, and accountability built in.
The Leadership View
Safety event portfolio, review throughput, and how agent findings hold up under adjudication.
Incorrect findings are fed back to the agent configuration weekly. A rate above 10% triggers a review of the retrieval scope before drafts are trusted for triage.
Median 9.5 d. Two events are past the 21-day committee commitment, both awaiting team interviews.
| Event | Summary | Harm | Facts C/N/I | Stage | Age |
|---|---|---|---|---|---|
| SE-****-**13 | Lisinopril restart at 7.5× prior dose → Stage 3 oliguric AKI | Unclassified | 0/0/0 | In review | 15 d |
| SE-****-**08 | Vancomycin trough not drawn across three consecutive doses | Cat E | 4/2/0 | Triage | 11 d |
| SE-****-**01 | Insulin infusion programmed at 10× ordered rate, caught at 40 min | Cat F | 5/1/1 | Awaiting sign-off | 19 d |
| SE-****-**96 | Heparin flush concentration mix-up, no patient harm | Cat C | 3/2/0 | In review | 6 d |
| SE-****-**89 | Delayed sepsis escalation on overnight shift | Cat F | 5/0/1 | Closed | 18 d |
Notional data shown. Event IDs and patient identifiers are masked in every reviewer view; findings link back to the source record for anyone with case access.
A Root Cause Analysis, Reconstructed — Case P-04417
When a patient was reintubated 19 hours after extubation, Vectis Safety reconstructed the chronology directly from the EMR — timestamps, orders, and unacknowledged alerts — and reviewed eight salient-factor categories, flagging what the data could and could not assess. Investigations can be powered by Vectis Copilot, so every finding is traceable to a table, column, and record ID.
Findings — Chronology
Salient Factors Reviewed — Eight Categories
Trisomy 21, prior prolonged intubation (2023), baseline OSA.
RR trend and pCO₂ rise across the 12 h before the event.
Abrupt dexmedetomidine stop; no peri-extubation steroid.
No delayed or cancelled orders in the window.
Gas resulted 22:51, first referenced 01:40 — across a handoff boundary.
4 h 40 min respiratory-assessment gap; BPA unacknowledged.
Extubation-readiness bundle: 3 of 5 elements documented.
Staffing ratios are absent from the source database.
The Safety Lifecycle
A staff member observes or experiences a safety event, near miss, or unsafe condition. They submit a structured report — anonymously if needed — in under two minutes from any device.
Reports are routed to the appropriate safety officer or department lead. Severity, harm classification, and immediate response actions are captured in a structured format that supports both individual triage and aggregate trend analysis.
For events warranting deeper analysis, an RCA is launched using a structured framework — fishbone, 5 Whys, fault tree, or contributing factor analysis. Investigators capture timeline, contributing factors, and root cause hypotheses in one place.
RCA findings translate directly into corrective action plans — with named owners, due dates, and verification criteria. Significant findings can be promoted into structured improvement projects in Vectis Ops with full PDSA tracking.
Patterns across reports, RCAs, and risk registers become visible — by department, time period, event type, and contributing factor. The organization moves from reactive incident response to proactive risk reduction.
The Vectis Suite
Ask the question, run the improvement, prove the outcome, protect the patient — the Vectis suite closes the loop.
Manage QI projects, track metrics, run SPC analysis, and align initiatives to strategic goals across teams and sites.
Ask in plain language; an orchestrated agent team returns cited, EMR-traceable reports in minutes.
Surface patient-reported outcomes publicly — creating accountability for providers, clarity for regulators, informed choice for patients.
Capture safety events, run structured root cause analyses, and manage organizational risk in one connected system.
Vectis Safety is running today for healthcare safety teams. Get in touch for a walkthrough on your own event data, or to discuss integration with your EMR and existing reporting infrastructure.