CriticalLate report holding movement · general_medicineopen since 12 Oct 2026, 11:15 am

X-ray chest for Mohammed Irfan is 75 min late, 4th in the radiology queue, and holds discharge D-109 and bed W2-11

What to do

If you take the recommended option: report in about 20 min instead of 80, then bed W2-11 frees

Option	Numbers	Cost	Approver
Move T-892 (X-ray chest) to the front of the radiology queue recommendedeffect in 20 min	queue position: 4 to 1 place report arrives in: 80 to 20 min bed W2-11 ready in: 120 to 80 min	3 test(s) move back one place, 1 of them also hold a bed or an Emergency decision	Lab head
Escalate T-892 to the lab head	no number moves	none; a message, not a change	Lab head
Ask the treating doctor whether discharge D-109 can proceed with the report to follow clinical, a doctor decideseffect in 30 min	bed W2-11 ready in, if yes: 120 to 40 min	a clinical decision; the agent asks, it does not decide	Treating doctor

Decide

OptionMove T-892 (X-ray chest) to the front of the radiology queuerecommendedEscalate T-892 to the lab headAsk the treating doctor whether discharge D-109 can proceed with the report to follow

RoleNameNote

Needs Lab head, anyone on the escalation chain, or the Medical Superintendent. Recorded with name and role.

How it connects: 0 upstream, 8 downstream

Caused by

Nothing upstream. This is a root cause.

Which is why

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.

The records behind it (14)

test

X-ray chest

lab

radiology

requested at

12 Oct 2026, 8:00 am

expected at

12 Oct 2026, 10:00 am

late min

queue position

tests ahead in queue

blocks

bed_id	discharge_id	waiting_for_that_ward	ward	what
W2-11	D-109	4	W2	discharge

lab today total

lab today late

lab staff on leave

Abdul Rahman

own urgency

own impact

downstream issue count

How it was ranked

Urgency 5 of 5, impact 53 (people and beds it touches, downstream included), priority 265 (urgency times impact). Key diagnostics_delay:T-892.