Batch 03 · EHR alerts
Alerts routed to the wrong role
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System failure identification
An alert requiring a prescribing decision fires to the nurse at the bedside, who must then locate a doctor. The delay is not clinical judgement, it is message routing. The alert fired correctly and still failed to produce a timely action.
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Data pipeline diagnostics
Routing is configured by location rather than by the action the alert requires. The system knows which bed the patient is in and not which role can resolve the finding. Location is easy to derive and required action is not, so the easy field was used.
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Predictive computational model
Classify each alert by required action, then map action to role and role to the person currently on shift. Measure time from firing to first action by a qualified responder. Time to qualified action is the measure that reflects what the alert was for.
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Workflow integration
Change the routing table rather than the alert content. The alert is correct, and it is simply arriving at someone without the authority to act on it. Routing is configuration, so the fix ships without touching clinical logic.