Decisions

Investigate / decide

S. Donnelly / Ward S4 / Bed 7Breached / 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: S. Donnelly; Ward S4 / Bed 7
State: Breached; S. Donnelly may block C. Morgan arrival 10:30 and Theatre 1 12:00 exposed.

Decision queue

Queue context is preserved while the selected case is worked.

24 in scope

S. Donnelly may block C. Morgan arrival 10:30 and Theatre 1 12:00 exposed.

Secondary alert preserves queue context and active-run evidence.

S. Donnelly / Ward S4 / Bed 7

Breached

Recommendation: Review operating owner; The case needs a named owner while dependency evidence remains in motion.
Expected effect: Keeps case accountable; Site Operations
Probability: 65%; Thresh. 65% / rules r1 / p p1
Delay band: 2-4 hours; Protection objective already missed
Ready comparator: 11:20 vs 10:45; Required by 10:45; C. Morgan arrival 10:30 / Theatre 1 12:00 exposed
Owner: Tom Linwood; 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 caseS. DonnellyExpected discharge 08:30; predicted ready 11:20
Bed dependencyWard S4 / Bed 7Same bed group dependency
Planned admissionC. MorganC. Morgan arrival 10:30
Theatre listTheatre 1Theatre 1 12:00 exposed
OutcomeBreachedPredicted 11:20; required 10:45

Current blocker ledger
Blocker	State	Owner	Threshold	Source detail
TTO	Review	Pharmacy	120 min escalation window	No dominant TTO exception; source Breached 09:10
Transport	Review	Transport	120 min escalation window	Transport checked against active run; source Breached 09:10
Discharge summary	Review	Ward Administration	90% completion floor	Summary checked against configured completion floor
Downstream dependency	Exposed	Site operations	Admission arrival and theatre buffer	C. Morgan arrival 10:30 / Theatre 1 12:00 exposed

Intervention order

2 available

Review operating owner

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

Keeps case accountableSite OperationsTaskResult: Intervention in progress

Assign issue owner

Ownership is required where dependency evidence is still moving.

Creates named operating ownerTom Linwood / 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	Protection objective already missed	Task status	120 min escalation window / 90% summary floor	Discharge task source	Breached 09:10	Protection objective already missed
Readiness forecast	65%; 2-4 hours	Expected discharge	At-risk probability threshold 65%	Prediction snapshot	Breached 09:10	Expected discharge 08:30; predicted ready 11:20
Admission exposure	C. Morgan arrival 10:30	Admission dependency	Same-day protected bed comparator	Admission and bed dependency	Run 09:15	S. Donnelly may block C. Morgan arrival 10:30 and Theatre 1 12:00 exposed.
Theatre exposure	Theatre 1 12:00 exposed	Protection deadline	75 min protection buffer	Theatre and recovery context	Run 09:15	Required ready 10:45; predicted ready 11:20; Comparator inside active run

Why nowS. Donnelly

S. Donnelly may block C. Morgan arrival 10:30 and Theatre 1 12:00 exposed. 65% probability; 2-4 hours forecast; predicted ready 11:20 versus required ready 10:45.