One area is driving most of your risk. They don’t fail the same way.

The screening bypass isn’t a loophole — it’s in your own published policy.

Life-threatening arrivals pass the metal detector unchallenged and ambulances aren’t screened, because the clinical need is real. The exception became the documented, permanent, unscreened corridor into the department.

With no minimum height for a ligature point, every device you mount is a candidate.

Camera housing, door closer, duress button, sensor, conduit, hinge, handle — on this unit the control isn’t fighting the workflow. It’s a risk to the patient it was installed to protect.

In one documented case, the hospital found the missing patient — and still lost him.

Found near the ED, registered as a new ED patient, medicated, and discharged — while still listed as admitted upstairs. The door held. The information didn’t. It’s not a perimeter problem.

The badge works. The cabinet opens. The camera records an authorized employee. The drugs are gone.

Nothing failed — because the person was allowed. Diversion shows only when badge, dispensing, order, waste, shift, and video records fail to agree. You bought the system that says yes.

She doesn’t defeat the door. She’s handed the baby.

The recurring pattern the authorities document is social, not technical: advance observation of the unit, staff impersonation, deception, departure by a fire stairwell. The protected door was never the gap.