Decisions

Investigate / decide

R. Chen / Ward S5 / Bed 9Recovered / Active run 09:15 / queue contextOperational 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: R. Chen; Ward S5 / Bed 9
State: Recovered; R. Chen is now protecting N. Hughes arrival 12:30; Theatre 4 15:30 protected remains within the configured buffer.

Decision queue

Queue context is preserved while the selected case is worked.

24 in scope

R. Chen is now protecting N. Hughes arrival 12:30; Theatre 4 15:30 protected remains within the configured buffer.

Secondary alert preserves queue context and active-run evidence.

R. Chen / Ward S5 / Bed 9

Recovered

Recommendation: Review operating owner; The case needs a named owner while dependency evidence remains in motion.
Expected effect: Keeps case accountable; Site Operations
Probability: 38%; Thresh. 65% / rules r1 / p p1
Delay band: Up to 1 hour; Interventions completed; release path recovered
Ready comparator: 10:20 vs 11:15; Required by 11:15; N. Hughes arrival 12:30 / Theatre 4 15:30 protected
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.

Discharge caseR. ChenExpected discharge 09:45; predicted ready 10:20
Bed dependencyWard S5 / Bed 9Same bed group dependency
Planned admissionN. HughesN. Hughes arrival 12:30
Theatre listTheatre 4Theatre 4 15:30 protected
OutcomeRecoveredPredicted 10:20; required 11:15

Current blocker ledger
Blocker	State	Owner	Threshold	Source detail
TTO	Complete	Pharmacy	120 min escalation window	No dominant TTO exception; source Recovered 09:00
Transport	Complete	Transport	120 min escalation window	Transport checked against active run; source Recovered 09:00
Discharge summary	Complete	Ward Administration	90% completion floor	Summary checked against configured completion floor
Downstream dependency	Protected	Site operations	Admission arrival and theatre buffer	N. Hughes arrival 12:30 / Theatre 4 15:30 protected

Intervention order

2 available

Review operating owner

The case needs a named owner while dependency evidence remains in motion.

Keeps case accountableSite OperationsTaskResult: Recovered

Assign issue owner

Ownership is required where dependency evidence is still moving.

Creates named operating ownerMaya Sutton / Site OperationsTaskResult: Recovered

Evidence grid

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

Measure	Value	Comparator	Threshold	Source	Freshness	Explanation
Primary blocker	Interventions completed; release path recovered	Task status	120 min escalation window / 90% summary floor	Discharge task source	Recovered 09:00	Interventions completed; release path recovered
Readiness forecast	38%; Up to 1 hour	Expected discharge	At-risk probability threshold 65%	Prediction snapshot	Recovered 09:00	Expected discharge 09:45; predicted ready 10:20
Admission exposure	N. Hughes arrival 12:30	Admission dependency	Same-day protected bed comparator	Admission and bed dependency	Run 09:15	R. Chen is now protecting N. Hughes arrival 12:30; Theatre 4 15:30 protected remains within the configured buffer.
Theatre exposure	Theatre 4 15:30 protected	Protection deadline	75 min protection buffer	Theatre and recovery context	Run 09:15	Required ready 11:15; predicted ready 10:20; Protected inside required window

Why nowR. Chen

R. Chen is now protecting N. Hughes arrival 12:30; Theatre 4 15:30 protected remains within the configured buffer. 38% probability; Up to 1 hour forecast; predicted ready 10:20 versus required ready 11:15.