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Operations

Timestamped rounds, not initials on a clipboard.

Q15 checks, hourly rounds, and unit walkthroughs recorded at the point of care with the time they actually happened — so the record you produce after an incident is the record that was made during it.

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Recorded on the device. Backdating a round is not possible.

One night shift

Every fifteen-minute check, timestamped as it happened.

Four patients on q15 observation across an eight-hour shift. Each square is one round, recorded on the device at the point of care — green on time, amber late, red missed.

Unit B · 23:00 – 07:00 · q15 observation126 rounds due · 125 completed
Alvarez, R.
Duarte, K.
Round 7 late
Okafor, M.
Round 13 missed
Bell, A.
Round 15 lateRound 31 not applicableRound 32 not applicable
On time · 123Late · 2Missed · 1Discharged mid-shift · 2

The document that decides the case

After a serious incident, this is the first record anyone asks for.

Not the progress note, not the treatment plan — the observation record for the hours before. Whether it exists, whether it is complete, and whether it was written contemporaneously is what determines how the review goes.

On paper

A clipboard filled in at 06:50

Initials in a column, all in the same pen, entered near the end of a shift. Reviewers recognise it immediately, and it supports almost nothing.

On the device

A timestamp per round

Recorded when the check happened, attributed to the staff member who made it, and impossible to backdate. Gaps show as gaps rather than being filled in later.

Before the incident

Consistently late rounds on one shift is a staffing signal worth acting on.

The value is not only evidentiary. When a pattern of late checks appears on a particular shift or unit, that is information you can act on while it is still a scheduling problem.

97.9%rounds on time

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