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16 decisions are waiting for you. Hospital time 12 Oct 2026, 11:15 am.
Scenarioicu fullICU fills and one more critical patient arrives needing it: nothing free anywhere, a hard escalation to the superintendent.applied 12 Oct 2026, 11:15 am · 3 findings new since · change it
- 1The agent scans. It reads every department's records on a clock and after every change.
- 2It explains. Delays are linked into chains. Root causes are listed worst first, each with the option it recommends.
- 3You decide. Open one, compare the options, approve as a named in-charge. Nothing changes without that.
New in this scenario
2 root causes the scenario addedWhat changed when the scenario was applied, pulled out so it can be seen. The full list, ranked worst first, follows below.
- 7Criticalnew in this scenarioNeeds escalating · critical_care
Recommended: Send the escalation to the shift_manager
Review and approve - 9Criticalnew in this scenarioWard full, none free anywhere · critical_care
ICU is full: 1 waiting for it; 0 bed(s) held by stuck discharges; no ICU bed is free anywhere
Recommended: Escalate to the shift manager: ICU is 1 bed(s) short
Review and approveWhy it matters: 1 other finding comes from it
- CriticalA patient is waiting for a bed: Arrival 9900 needs a ICU bed, waiting 1 min.
Needs attention, worst first
35 findings, 18 root causes- 1CriticalLate report holding movement · general_medicine
Recommended: Move T-889 (CBC) to the front of the central_lab queue
Review and approveWhy it matters: 8 other findings come from it
- CriticalA discharge is stuck: Lakshmi Devi's discharge has waited 185 min in bed W2-07.
- CriticalA bed stays occupied: Bed W2-07 in W2 is held by a discharge, 185 min old, waiting on the CBC report from lab, discharge medication (pharmacy).
- LowA complaint has already come in: A complaint about discharge delay, severity 3.
- CriticalA ward is full while beds sit idle elsewhere: W2 is full: 4 waiting for it (3 boarding elsewhere, 1 just triaged).
- CriticalAdmitted patients are stuck in Emergency: 3 admitted patients are lying in Emergency beds waiting for W2.
- HighA patient is waiting for a bed: Ravi Kumar needs a general bed, waiting 8 min.
- CriticalWaits are longer than usual: Emergency has 15 waiting, mean 64 min against a usual 52 min for this hour.
- HighA complaint has already come in: A complaint about waiting, severity 4.
- 2CriticalLate report holding movement · general_medicine
Recommended: Move T-892 (X-ray chest) to the front of the radiology queue
Review and approveWhy it matters: 8 other findings come from it
- CriticalA discharge is stuck: Mohammed Irfan's discharge has waited 170 min in bed W2-11.
- LowA complaint has already come in: A complaint about report delay, severity 3.
- CriticalA bed stays occupied: Bed W2-11 in W2 is held by a discharge, 170 min old, waiting on the chest X-ray report from lab, discharge summary (records).
- CriticalA ward is full while beds sit idle elsewhere: W2 is full: 4 waiting for it (3 boarding elsewhere, 1 just triaged).
- CriticalAdmitted patients are stuck in Emergency: 3 admitted patients are lying in Emergency beds waiting for W2.
- HighA patient is waiting for a bed: Ravi Kumar needs a general bed, waiting 8 min.
- CriticalWaits are longer than usual: Emergency has 15 waiting, mean 64 min against a usual 52 min for this hour.
- HighA complaint has already come in: A complaint about waiting, severity 4.
- 3CriticalNeeds escalating · emergency
Recommended: Send the escalation to the superintendent
Review and approve - 4MediumDoctor overloaded, colleague spare · orthopaedics
Dr. Suresh Rao has 14 waiting (140 min projected) while Dr. Ananya Mehta has 2 (20 min)
Recommended: Move 6 patient(s) to Dr. Ananya Mehta
Review and approveWhy it matters: 2 other findings come from it
- MediumWaits are longer than usual: Orthopaedics has 16 waiting, mean 78 min against a usual 67 min for this hour.
- LowA complaint has already come in: A complaint about waiting, severity 3.
- 5MediumSlot overbooked or no-shows · cardiology
Recommended: Move 5 not-yet-arrived patient(s) from 11:00 to 12:00 with Dr. Meera Krishnan
Review and approveWhy it matters: 2 other findings come from it
- MediumOne doctor is overloaded: Dr. Meera Krishnan has 7 waiting (70 min projected) while Dr. Sanjay Kulkarni has 1 (10 min).
- LowA complaint has already come in: A complaint about waiting, severity 2.
- 6MediumRoster below its floor · emergency
Recommended: Call in Dr. Rohit Bhat (on call) for the evening shift
Review and approve - 7Criticalnew in this scenarioNeeds escalating · critical_care
Recommended: Send the escalation to the shift_manager
Review and approve - 8MediumDischarge stuck on a task · cardiology
Recommended: Send the open task(s) to records, billing with a 20 min deadline
Review and approveWhy it matters: 1 other finding comes from it
- MediumA bed stays occupied: Bed W6-02 in W6 is held by a discharge, 190 min old, waiting on discharge summary (records), billing clearance (billing).
- 9Criticalnew in this scenarioWard full, none free anywhere · critical_care
ICU is full: 1 waiting for it; 0 bed(s) held by stuck discharges; no ICU bed is free anywhere
Recommended: Escalate to the shift manager: ICU is 1 bed(s) short
Review and approveWhy it matters: 1 other finding comes from it
- CriticalA patient is waiting for a bed: Arrival 9900 needs a ICU bed, waiting 1 min.
- 10MediumPlanned discharge not started · general_medicine
Recommended: Ask the W2 in-charge to start today's planned discharges
Review and approve - 11MediumComplaints with no signal · paediatrics
3 cleanliness complaints in Paediatrics with no operational signal the agent can see: go and look
Recommended: Send someone to look at Paediatrics now
Review and approve - 12LowSlot overbooked or no-shows · paediatrics
Recommended: Send reminders for Dr. Radhika Pai's remaining slots today and tomorrow
Review and approve - 13HighLate report holding movement · emergency
Recommended: Move T-1002 (Blood sugar) to the front of the central_lab queue
Review and approve - 14HighLate report holding movement · emergency
Recommended: Move T-1025 (X-ray wrist) to the front of the radiology queue
Review and approve - 15HighLate report holding movement · emergency
Recommended: Move T-901 (Troponin) to the front of the central_lab queue
Review and approve - 16LowLate report holding movement
2 other report(s) late in central_lab, none holding a bed or an Emergency decision
No action of its own. It clears when its cause is fixed.
- 17LowLate report holding movement
2 other report(s) late in radiology, none holding a bed or an Emergency decision
No action of its own. It clears when its cause is fixed.
- 18MediumBed demand ahead
Recommended: Ask 2 ward(s) to start the 4 discharges due in the next 4 h
Review and approve
17 more findings, each explained by one of the above
- CriticalA discharge is stuck: Lakshmi Devi's discharge has waited 185 min in bed W2-07.
- CriticalA discharge is stuck: Mohammed Irfan's discharge has waited 170 min in bed W2-11.
- CriticalA bed stays occupied: Bed W2-07 in W2 is held by a discharge, 185 min old, waiting on the CBC report from lab, discharge medication (pharmacy).
- CriticalA bed stays occupied: Bed W2-11 in W2 is held by a discharge, 170 min old, waiting on the chest X-ray report from lab, discharge summary (records).
- CriticalA ward is full while beds sit idle elsewhere: W2 is full: 4 waiting for it (3 boarding elsewhere, 1 just triaged).
- CriticalAdmitted patients are stuck in Emergency: 3 admitted patients are lying in Emergency beds waiting for W2.
- CriticalWaits are longer than usual: Emergency has 15 waiting, mean 64 min against a usual 52 min for this hour.
- MediumWaits are longer than usual: Orthopaedics has 16 waiting, mean 78 min against a usual 67 min for this hour.
- MediumOne doctor is overloaded: Dr. Meera Krishnan has 7 waiting (70 min projected) while Dr. Sanjay Kulkarni has 1 (10 min).
- MediumA bed stays occupied: Bed W6-02 in W6 is held by a discharge, 190 min old, waiting on discharge summary (records), billing clearance (billing).
- CriticalA patient is waiting for a bed: Arrival 9900 needs a ICU bed, waiting 1 min.
- HighA patient is waiting for a bed: Ravi Kumar needs a general bed, waiting 8 min.
- HighA complaint has already come in: A complaint about waiting, severity 4.
- LowA complaint has already come in: A complaint about discharge delay, severity 3.
- LowA complaint has already come in: A complaint about report delay, severity 3.
- LowA complaint has already come in: A complaint about waiting, severity 3.
- LowA complaint has already come in: A complaint about waiting, severity 2.
Sent to people
0 not yet seenEvery approval goes to the person who must act. They mark it seen and done from their inbox; one not picked up in 15 minutes comes back up the chain as a new finding.
Nothing sent yet. Approve something above and it shows here with who has it.
Inboxes: Lab head · Ward in-charge · Shift manager · all roles
Ask the agent
A question in words, or a request. It answers from the records and drafts the options; it never acts on its own.
A bed request becomes options to approve. The other two just answer.