NEXUSNOVA|v1.0|ONLINE

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_hospitals.emergency()

Tier 2 — ED/ICU heavyAny · ED/ICU heavy beds

Emergency & Critical — ED/ICU throughput.

ED walk-in surge and ICU prioritization manual, lab/radiology alerts missed, handoffs on paper. HospitalOS queues triage and automates allocation + LIS/PACS triggers.

> ED wait -40% · ICU allocation 38m→4m (<5m) · Lab trigger compliance 94% · Response <22s · Abnormal recall 46%→91%

Book ED/ICU Audit

Check Ops Friction →

DM: MS / Nursing Superintendent·Influencers: ED Lead · ICU Charge · HIS Admin

ED wait

— → -40%

-40%

ICU allocation

38m → 4m

-89%

Response

— → <22s

<22s

Lab trigger compliance

46% → 94%

+48pp

Abnormal recall

46% → 91%

+45pp

> _operational_problem

ED walk-in surge with manual triage queue; ICU bed prioritization manual; lab/radiology (PACS) delays + missed alerts; code handoffs on paper.

Manual ED triage queue — surge = chaos, wait +40%, documentation lag.
ICU allocation by seniority/phone — Avg 38m, no prioritization rules.
LIS/PACS alerts not routed — critical results missed, recall 46%.
68% after-hours ED/OPD enquiries go unanswered.
Handoffs on paper — no audit trail, code delays.

> _automated_workflow

ED triage queue (constrained AI + instant clinical handoff via SMS/alert), ICU bed allocator rule-driven, LIS/PACS FHIR triggers + real-time alerting, OPD slot + ED queue sync.

Constrained triage (web/WhatsApp/phone) + ABHA/FHIR + instant handoff to ED queue; urgent → SMS/alert queue <22s.
ICU allocator: acuity + bed type + occupancy → ranked list → FHIR Task → <5m allocation (38m→4m).
LIS triggers (HL7→FHIR) → abnormal recall bot (WhatsApp) + PACS order → RIS trigger → compliance 94%.
ED board: live queue, ward/ICU board sync, family WhatsApp updates, ALOS/occupancy dashboards.
Audit trails: every allocation/ handoff logged — NABH-ready.

> _business_impact

ED wait -40% · ICU allocation 38m→4m (<5m) · Lab trigger compliance 94% · Response <22s · Abnormal recall 46%→91%

ED wait— → -40% -40%

ICU allocation38m → 4m -89%

Response— → <22s <22s

Lab trigger compliance46% → 94% +48pp

Safety: constrained triage only — never diagnosis. Urgent → instant SMS/alert handoff to clinical/ED team. Audit-trailed.

_friction_relevance[5]

Five zones — ED/ICU is triage + handoffs

_zone.adt

ADT / Beds

Phone/Excel bed board → FHIR ADT sync, real-time ward/ICU board, AI allocator, HIS write-back.

high friction

_zone.discharge

Discharge

6–8h manual clearance → digital checklist, e-summary, pharmacy/lab FHIR Tasks, referral SLAs.

medium friction

_zone.revenue

Revenue / TPA

15–30d manual TPA + packet errors → OCR, packet validator, portal RPA, denial predictor.

low friction

_zone.triage

Triage

68% after-hours missed → 24/7 AI triage web/WhatsApp/phone, ABHA/FHIR, ED queue, instant handoff.

high friction

_zone.handoffs

Lab/Rx/Rad

Abnormal recall missed → LIS/PACS FHIR triggers, pharmacy handshake, post-discharge plan bot.

high friction

> _workflow_lane

ED Triage → ICU allocator → LIS/PACS → Board

1ED triage queue
2ICU allocator
3LIS/PACS triggers
4ED board sync
5Audit trails

OPD & Emergency Triage →ADT & Bed Management →

> _safety_invariants

Constrained triage — never diagnosis; instant clinical handoff
HL7→FHIR LIS/PACS triggers — no silent critical results
ICU allocation rules: acuity + bed type + occupancy ranked
ED board + FHIR Task + family WhatsApp live
Audit trails + RBAC — NABH-ready, India residency

_proof

ED & ICU — Triage & Allocation

ED -40% · ICU 38m→4m · Lab trigger 94%

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_faq

Is AI triage clinically safe?

Constrained triage only — never diagnosis. Urgent/complex → instant SMS/alert handoff to clinical/ED team. Audit-trailed.

Does it handle code handoffs?

Yes — FHIR Tasks + real-time alerts replace paper; board shows pending tasks + SLAs.

When every minute is a bed and a life — allocate in 4 minutes.

> ED triage queue + ICU allocator + LIS/PACS FHIR triggers — parallel run, zero downtime.

Book ED/ICU Audit

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