Assess whether to stop a model that increases alert volume without outcomes

SITUATION After three weekend deaths that look similar on first read, unit-level complication variation table is what quality-improvement physician can touch in a unit with a new early-warning model. Healthcare will live with Proceed under protocol versus Pause the pathway on this Outcomes Review file.

DECISION Quality-improvement physician in a unit with a new early-warning model must choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold using unit-level complication variation table after three weekend deaths that look similar on first read.

HYPOTHESES TO TEST 1. Authorize Proceed under protocol now; unit-level complication variation table already has the discriminator after three weekend deaths that look similar on first read. 2. Keep Pause the pathway in force until unit-level complication variation table is completed after three weekend deaths that look similar on first read for quality-improvement physician. 3. Treat unit-level complication variation table as Escalate safety review because both readings appear after three weekend deaths that look similar on first read. 4. Refuse a Healthcare close: quality-improvement physician does not have the decision to stop a model turns on in unit-level complication variation table.

ANALYSIS REQUIRED 1. Assess patient-safety and HIPAA / minimum-necessary implications of to stop a model. 2. Quantify who is harmed if unit-level complication variation table is wrong. 3. Separate a documented exception from an OCR-relevant gap in a unit with a new early-warning model. 4. For this Healthcare Outcomes Review file, read unit-level complication variation table against three weekend deaths that look similar on first read and write the one fact that would move to stop a model for quality-improvement physician.

RECOMMENDATION Choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold on this Healthcare / Outcomes Review packet (unit-level complication variation table after three weekend deaths that look similar on first read). The follow-on Outcomes Review action is what quality-improvement physician does next: implement the option, assign an owner, and log the missing fact.

COMMAND RETURNS - Bottom-line Healthcare option on to stop a model, then the evidence in unit-level complication variation table, then the action for quality-improvement physician - Hypothesis scorecard against unit-level complication variation table: supported / rejected / untestable - Named option among Proceed under protocol, Pause the pathway, Escalate safety review and the fact that kills the others - Owner and next date for quality-improvement physician in a unit with a new early-warning model