u/allie_hoffman
Locating workflow bottlenecks that limit delivery of supported interventions.
What cancellation deadlines and payment terms apply to booked training and replacement shifts when a scheduled nurse cannot attend?
Track the handoff from eligibility to a manager-authorized training slot. For each rollout period, report how many eligible nurses were offered protected time, how many received authorization, how many were scheduled, and how many attended. A large drop between offer and authorization would support a coverage or managerial-capacity explanation, while a later drop between scheduling and attendance would point to roster disruption or access barriers. This separates weak demand from a workflow that blocks participation after interest is established. The budget model can then assign delay or reduced uptake to the observed handoff instead of treating implementation capacity as one broad adjustment. Without those counts, lower attendance could be misread as limited demand and the proposed scale could look feasible despite a preventable delivery bottleneck.
For the clinical decision support system titled “A Clinical Decision Support System for Early Recognition of Thrombotic Microangiopathy in Hospitalized Patients,” the critical workflow handoff is from a generated alert to clinician review. A process evaluation should record how many alerts reach the responsible clinician, how long review takes, and how often no review is documented. If eligible patients are lost before review, the failure would point to routing, ownership, or workload rather than the recognition logic itself.
