Event Storm — Emergency Admission
Emergency department arrival through bed management to the ward, with the discharge event nobody commands and two hotspots concentrated on the bed-request boundary.
Make it your own.
title "Emergency admission — arrival to ward"
context "Emergency department"
actor Paramedic
aggregate Attendance
command "Register arrival" by Paramedic on Attendance
event "Patient registered" from "Register arrival"
external "Ambulance pre-alert feed"
command "Triage patient" by "Triage nurse" on Attendance
event "Patient triaged" from "Triage patient"
readmodel "Department status board"
hotspot "Mental-health presentations have no triage category"
policy "When patient triaged, request bed" then "Request bed"
context "Bed management"
aggregate "Bed request"
command "Request bed" by "Flow coordinator" on "Bed request"
event "Bed requested" from "Request bed"
event "Bed allocated" from "Request bed"
external "Patient administration system"
hotspot "Escalation beds are counted twice at the 8am huddle"
hotspot "Nobody owns the request once the coordinator goes off shift"
policy "When bed allocated, admit patient" then "Admit patient"
context "Ward"
aggregate Admission
command "Admit patient" by "Ward sister" on Admission
event "Patient admitted" from "Admit patient"
readmodel "Ward handover list"
event "Patient discharged"
hotspot "The discharge summary is written after the patient leaves"