Decisions

Investigate / decide

M. Osei / Ward N2 / Bed 4Intervention in progress / Active run 09:15 / queue contextOperational decision support. Not clinical advice.

Run 09:15 / Source 09:12

Rules v1 / Forecast v1

Decision queue

Queue context is preserved while the selected case is worked.

24 in scope

M. Osei may block L. Whitmore arrival 13:30 and No theatre exposure.

Secondary alert preserves queue context and active-run evidence.

M. Osei / Ward N2 / Bed 4

Intervention in progress

Current intervention: Request backup transport; Transport confirmation is the leading release blocker.
Expected effect: Expected delay reduction 35 min; Nia Bennett / Transport
Probability: 45%; Thresh. 65% / rules r1 / p p1
Delay band: 2-4 hours; Transport intervention logged; source detail stale
Ready comparator: 13:00 vs 13:30; Required by 13:30; L. Whitmore arrival 13:30 / No theatre exposure
Owner: Maya Sutton; Active run 09:15 / source 09:12

Recommended action

Review the operational artifact, then log the intervention without losing context.

Ready

Request backup transport

Transport confirmation is the leading release blocker.

Recipient: Nia Bennett / Transport
Expected effect: Expected delay reduction 35 min
Resulting state: Intervention in progress

Opens the action preview with recipient, message body, threshold rationale, and audit consequence.

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.

Discharge caseM. OseiExpected discharge 11:15; predicted ready 13:00
Bed dependencyWard N2 / Bed 4Same bed group dependency
Planned admissionL. WhitmoreL. Whitmore arrival 13:30
Theatre listNo theatreNo theatre exposure
OutcomeIntervention in progressPredicted 13:00; required 13:30

Current blocker ledger
Blocker	State	Owner	Threshold	Source detail
TTO	Review	Pharmacy	120 min escalation window	No dominant TTO exception; source Source stale 09:02
Transport	In progress	Transport	120 min escalation window	Transport intervention logged; source detail stale; source Source stale 09:02
Discharge summary	Review	Ward Administration	90% completion floor	Summary checked against configured completion floor
Downstream dependency	Exposed	Site operations	Admission arrival and theatre buffer	L. Whitmore arrival 13:30 / No theatre exposure

Intervention order

2 available

Request backup transport

Transport confirmation is the leading release blocker.

Expected delay reduction 35 minNia Bennett / TransportTaskResult: Intervention in progress

Assign issue owner

Ownership is required where dependency evidence is still moving.

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

Evidence grid

Current value, comparator, threshold, source, and freshness stay visible.

Measure	Value	Comparator	Threshold	Source	Freshness	Explanation
Primary blocker	Transport intervention logged; source detail stale	Task status	120 min escalation window / 90% summary floor	Discharge task source	Source stale 09:02	Transport intervention logged; source detail stale
Readiness forecast	45%; 2-4 hours	Expected discharge	At-risk probability threshold 65%	Prediction snapshot	Source stale 09:02	Expected discharge 11:15; predicted ready 13:00
Admission exposure	L. Whitmore arrival 13:30	Admission dependency	Same-day protected bed comparator	Admission and bed dependency	Run 09:15	M. Osei may block L. Whitmore arrival 13:30 and No theatre exposure.
Theatre exposure	No theatre exposure	Protection deadline	75 min protection buffer	Theatre and recovery context	Run 09:15	Required ready 13:30; predicted ready 13:00; Comparator inside active run

Why nowM. Osei

M. Osei may block L. Whitmore arrival 13:30 and No theatre exposure. 45% probability; 2-4 hours forecast; predicted ready 13:00 versus required ready 13:30.