Escalate pharmacy
TTO is unresolved inside the configured escalation window.
Expected delay reduction 60 minLewis Graham / PharmacyMessage PreviewResult: Intervention in progressDecisions
Investigate / decideE. Baker / Ward S4 / Bed 12Expected discharge 10:30 / A. Khan 12:00 / Theatre 2 14:00 / Strong evidenceOperational decision support. Not clinical advice.
Run 09:15 / Source 09:12
Decision queue
Queue context is preserved while the selected case is worked.Ward S4 bed likely unavailable for A. Khan
Top intervention is pharmacy escalation; Predicted bed ready 13:45 against a 12:45 theatre protection deadline.
E. Baker / Ward S4 / Bed 12- Recommendation
- Escalate pharmacy
- TTO is unresolved inside the configured escalation window.
- Expected effect
- Expected delay reduction 60 min
- Lewis Graham / Pharmacy
- Probability
- 82%
- Thresh. 65% / rules r1 / p p1
- Delay band
- 2-4 hours
- TTO, transport, and summary blockers present
- Ready comparator
- 13:45 vs 12:45
- Required by 12:45; Theatre 2 14:00 -75 min
- Owner
- Maya Sutton
- Active run 09:15 / source 09:12
Recommended action
Review the operational artifact, then log the intervention without losing context.
Escalate pharmacy
TTO is unresolved inside the configured escalation window.
- Recipient
- Lewis Graham / Pharmacy
- Expected effect
- Expected delay reduction 60 min
- Resulting state
- Intervention in progress
Opens the action preview with recipient, message body, threshold rationale, and audit consequence.
Linked chain
Discharge, dependency, admission, and protection deadline remain in one chain.- Discharge caseE. BakerExpected discharge 10:30
- Bed dependencyWard S4 / Bed 12Same bed group release
- Planned admissionA. KhanPlanned arrival 12:00
- Bed ready by12:45Required before pre-op flow
- Theatre listTheatre 2Scheduled start 14:00
- OutcomeExposedPredicted bed ready 13:45
| Blocker | State | Owner | Threshold | Source detail |
|---|---|---|---|---|
| TTO | In progress | Pharmacy | 120 min escalation window | Requested 08:05; unresolved 75 min before expected discharge |
| Transport | In progress | Transport | 120 min escalation window | Requested 08:40; backup option not confirmed |
| Discharge summary | In progress | Ward Administration | 90% completion floor | Updated 08:55 at 60%; floor is 90% |
| Physio | Complete | Therapy | Required before release | Completed 08:20 |
Intervention order
4 availableRequest backup transport
Transport is unconfirmed while the admission slack is narrowing.
Expected delay reduction 45 minNia Bennett / TransportTaskResult: Intervention in progressPrompt ward administration
Discharge summary is materially below the completion floor.
Expected delay reduction 15 minPriya Desai / Ward AdministrationTaskResult: Intervention in progressAssign issue owner
Ownership is required if multiple blockers stay unresolved.
Creates named operating ownerMaya Sutton / Site OperationsTaskResult: Intervention in progressEvidence grid
Current value, comparator, threshold, source, and freshness stay visible.| Measure | Value | Comparator | Threshold | Source | Freshness | Explanation |
|---|---|---|---|---|---|---|
| TTO | Inside escalation window | Task status | 120 min escalation window | Discharge task source | Updated 09:12 | Current value: in progress |
| Transport | Backup option not confirmed | Task status | 120 min escalation window | Discharge task source | Updated 09:12 | Current value: unconfirmed |
| Summary | 30 pts below completion floor | Completion floor | 90% completion floor | Discharge summary source | Updated 08:55 | Current value: 60% |
| Theatre exposure | Protection window breached | Protection deadline | 75 min protection buffer | Admission and theatre dependency | Run 09:15 | Predicted 13:45 vs required 12:45 |
Why nowE. Baker
Delay is likely because TTO and transport remain unresolved inside their escalation windows and the discharge summary is 60% complete against a 90% floor. This bed supports A. Khan at 12:00 and Theatre 2 at 14:00.