SPOKANE, Wash. – A state Department of Health investigation found that a series of miscommunications and policy failures at Providence Sacred Heart Medical Center contributed to the tragic death of 12-year-old Sarah Niyimbona last April.

The information was first reported by The Spokesman-Review

Sarah, who was under constant observation due to her high risk of suicide, left her monitored room unnoticed on April 13. She reached the top of a hospital parking garage and jumped to her death before security guards could intervene.

The investigation revealed that it took staff 11 minutes to trigger a hospital-wide alarm after discovering Sarah was missing. This delay was critical, as security footage showed she reached the fourth level of the parking garage just minutes after leaving her roo

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