Foley >24h
Watch
12
Indwelling urinary catheters beyond 24 hours
+3 vs. prior huddle
Three new Foley days place the unit above the removal-review threshold; confirm indication and removal orders during rounds.
8:44 AMEpic device surveillance
Friday, September 11 · 8:49 AM
Good morning. Here’s the state of the house.
Orlando Regional Medical Center · Next facility huddle begins in 11 minutes
State of house
Normal measures stay compact. Exceptions show the next decision.
Supporting signals
Strategic measures for today’s discussion
Readmission rate
12.8%
0.7 pts above target
ED door-to-discharge
174 min
Provisional threshold: 167
ED CT turnaround
48 min
Prior day · within target
Unresolved actions
Carried into today’s huddle
Clear transport barriers for two 7 North discharges
M. Rivera · due 10:30 AM
Confirm telemetry bed release plan
J. Patel · due 10:00 AM
Clinical quality
Quality risks
Device, surveillance, and condition-specific risks requiring proactive review.
Central line >24h
Watch
4
PICC and central venous lines in place >24h
−1 since yesterday
One line was removed overnight; confirm dressing and line necessity for the remaining four before noon.
8:44 AMEpic device surveillance
Femoral line >24h
Critical
1
Single femoral central venous access
None prior huddle
Femoral lines carry elevated infection and DVT risk; prioritize replacement or removal today.
8:44 AMEpic device surveillance
Fall risk
Critical
23
Patients with high fall-risk score
5 without completed reassessment
Five high-risk patients lack a current reassessment; verify 1:1 or mitigation orders are active.
8:38 AMNursing assessment · approved risk model
CCOR
Watch
6
Concurrent controlled-observation rooms
2 awaiting 1:1 assignment
Two CCOR patients still need sitter coverage; coordinate with staffing office for 10 AM shift.
8:40 AMCapacity & sitter board
Telemetry discrepancies
Watch
3
Monitor status does not match active order
1 new since 6 AM
Resolve order-to-monitor mismatches to avoid missed alarm events and billing discrepancies.
8:42 AMTelemetry monitoring system
MRSA history
Watch
7
Admissions with prior MRSA history
2 not on contact precautions list
Two patients with prior MRSA are not flagged for contact precautions; reconcile isolation orders.
8:30 AMInfection prevention surveillance
Sepsis risk
Critical
8
Adult patients with active sepsis risk alert
3 without documented bundle
Three sepsis-risk patients lack a completed bundle; confirm lactate, blood cultures, and antibiotics.
8:45 AMEpic sepsis surveillance
Situational awareness
Patients of interest
5 unique fictional patients · 6 active flag categories · Facility overview
5
Unique patients
2
Multiple flags
4
Units represented
Decision-relevant details
Identifiers and narratives are minimized in this demonstration.
| Encounter | Location | Flags | Current need | Elapsed | Open |
|---|---|---|---|---|---|
| OH-1042 | 7 North · 714 | IsolationECHO | Discharge transport | 14h 18m | |
| OH-2187 | ED · ED-32 | SecurityRestraints | Behavioral placement | 9h 42m | |
| OH-3811 | 8 South · 823 | Experience priority | Service recovery review | 6h 10m | |
| OH-4920 | ED · ED-18 | Isolation | Medical bed | 8h 54m | |
| OH-5503 | 5 West · 508 | Police custody | Discharge coordination | 3h 27m |
Risk round robin
Safety & concerns
STEPS concerns requiring mitigation, escalation, or accountable review.
Equipment
Two telemetry transmitters awaiting replacement on 8 South
Owner · Clinical engineering
Mitigation active
Staffing
EVS coverage constrained during 10 AM bed-turn peak
Owner · Support services
Review required
Performance & prevention
Readmissions
Current performance, discharge risk, and follow-up readiness.
Watch
30-day readmission rate
12.8%
Rolling 30 days · 391 eligible discharges
+0.7 pts above target
Prior day · 6:00 AMCLT-approved scorecard
Critical
High-risk discharges
7
Adult medical population · risk model pilot
3 lack scheduled follow-up
8:31 AMEpic care management
Stable
Follow-up scheduled
84%
21 of 25 planned discharges
+5 pts vs. prior week
8:31 AMEpic appointments
Demand & flow
ED demand and throughput
Starting position, forecast demand, and door-to-discharge performance.
Watch
Forecast arrivals
238
Expected today · range 221–255
+9% vs. Friday norm
Model updated 7:05 AMEnterprise forecast pilot
Critical
7 AM starting position
74
ED census · 15 boarders at 7 AM
11 patients beyond LOS threshold
7:00 AMEpic ED track board
Critical
Door-to-discharge
174 min
Median · discharged patients only
7 min above provisional target
Prior dayApproved ED operations report
Service readiness
Diagnostic readiness
Prior-day turnaround and active diagnostic backlogs.
Stable
ED CT turnaround
48 min
Order to final result · median
6 min better than target
Prior dayRadiology performance report
Watch
Active CT backlog
6
Orders without a final result
2 open longer than 60 min
8:44 AMEpic radiology orders
Stable
Critical lab readiness
92%
Approved ED panel within target
+3 pts vs. 7-day median
8:40 AMLaboratory operations
Care experience
Patient experience
Headline experience, leading behaviors, and service-recovery priorities.
Watch
Would recommend
71.4%
Fiscal year to date
2.1 pts below goal
September 9Approved experience scorecard
Stable
Nurse leader rounding
88%
Completed on eligible patients
+4 pts vs. prior week
Prior dayGemba reporting
Critical
Service recovery priority
5
Current fictional patients
2 prolonged ED stays · 3 care delays
8:36 AMApproved experience rules pilot