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Maya SuttonSite Flow Coordinator

Decisions

Investigate / decide
E. 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
Rules v1 / Forecast v1
Source
09:12
Usable with warnings
Profile
Default morning protection
Partial source detail
Actor
Maya Sutton
Intervention logging authority
Selected case
E. Baker
Ward S4 / Bed 12
State
At risk
Predicted bed ready is 13:45, one hour after the 12:45 protection deadline for A. Khan and Theatre 2.
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Decision queue

Queue context is preserved while the selected case is worked.
24 in scope

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
At risk
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
Maya Sutton can inspect breach handling but cannot mark or reopen breach state.

Linked chain

Discharge, dependency, admission, and protection deadline remain in one chain.
  1. Discharge caseE. BakerExpected discharge 10:30
  2. Bed dependencyWard S4 / Bed 12Same bed group release
  3. Planned admissionA. KhanPlanned arrival 12:00
  4. Bed ready by12:45Required before pre-op flow
  5. Theatre listTheatre 2Scheduled start 14:00
  6. OutcomeExposedPredicted bed ready 13:45
Current blocker ledger
BlockerStateOwnerThresholdSource detail
TTOIn progressPharmacy120 min escalation windowRequested 08:05; unresolved 75 min before expected discharge
TransportIn progressTransport120 min escalation windowRequested 08:40; backup option not confirmed
Discharge summaryIn progressWard Administration90% completion floorUpdated 08:55 at 60%; floor is 90%
PhysioCompleteTherapyRequired before releaseCompleted 08:20

Intervention order

4 available
1

Escalate pharmacy

TTO is unresolved inside the configured escalation window.

Expected delay reduction 60 minLewis Graham / PharmacyMessage PreviewResult: Intervention in progress
2

Request backup transport

Transport is unconfirmed while the admission slack is narrowing.

Expected delay reduction 45 minNia Bennett / TransportTaskResult: Intervention in progress
3

Prompt ward administration

Discharge summary is materially below the completion floor.

Expected delay reduction 15 minPriya Desai / Ward AdministrationTaskResult: Intervention in progress
4

Assign issue owner

Ownership is required if multiple blockers stay unresolved.

Creates named operating ownerMaya Sutton / Site OperationsTaskResult: Intervention in progress

Evidence grid

Current value, comparator, threshold, source, and freshness stay visible.
MeasureValueComparatorThresholdSourceFreshnessExplanation
TTOInside escalation windowTask status120 min escalation windowDischarge task sourceUpdated 09:12Current value: in progress
TransportBackup option not confirmedTask status120 min escalation windowDischarge task sourceUpdated 09:12Current value: unconfirmed
Summary30 pts below completion floorCompletion floor90% completion floorDischarge summary sourceUpdated 08:55Current value: 60%
Theatre exposureProtection window breachedProtection deadline75 min protection bufferAdmission and theatre dependencyRun 09:15Predicted 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.