Inside my practice · Emergency medical services
The service ran on personal cell phones
Dispatch capacity depended on unofficial calls and staff goodwill while a new system assumed elastic coverage.
What the situation reveals
The operating condition
The early sign was routine reliance on heroics, but the staffing and escalation plan did not account for it.
The move I would make
Test deployment against real staff availability and make the backup channel an owned process.
The question to take into the room
What fails first when the people who usually absorb the gap are unavailable?
Explore the architecture
Follow the condition through the system.
Start with PRAEVENIRE, then examine where the other disciplines alter the decision or its consequences.
Bring it into your work
What fails first when the people who usually absorb the gap are unavailable?