Nurses in a hospital overflow unit are overwhelmed by sudden influxes of 4-5 admissions at once from the ED into an inadequate space with poor monitoring and supply access, leading to unsafe patient care.
Existing hospital patient flow and bed management systems do not adequately coordinate transfers from the ED to overflow units, leading to simultaneous admissions without regard for staffing ratios or acuity, and the physical environment is not designed for monitoring or supply storage.
Workarounds Described
- Manually transporting patients in a 'train' from ED to hold space
- Using any available staff to transport, regardless of role
- Charting 'do not use' on a bad IV access instead of replacing it
- Messaging charge nurse individually to raise safety concerns
Implied Software Gaps
- Automated patient transfer scheduling with staggering to avoid simultaneous admissions
- Real-time display of unit staffing and patient acuity to prevent overload
- Supply and room readiness tracking integrated with admission workflow
AdmissionFlow
AdmissionFlow is a capacity management and patient flow platform that staggers ED-to-floor admissions based on staffing, acuity, and available resources. It replaces chaotic batch transfers with a coordinated, prioritized queue that ensures each admission is safely managed.
- Real-time acuity scoring and priority queue for admissions
- Integration with EHR and nurse scheduling to calculate safe staffing ratios
- Mobile alerts for charge nurses and receiving staff with expected arrival times and patient needs
- Checklist for room readiness and supply checks before patient arrival
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