Audit Log

Complete agent activity trace · HIPAA-compliant
40 events
Run: 2026-05-31 05:45 UTC
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40 of 40 events
05:45:00 AM
Systeminfosystem
Beacon analysis run initiated. 15 cases queued for automated review.
05:45:00 AM
Schedule Monitorinfoagent
Schedule Monitor activated. Loaded 15 cases from OR schedule for 2026-06-01.
05:45:00 AM
Schedule Monitorwarningagent
Flagged 2 urgent cases for priority review: CASE-004 (TAVR), CASE-012 (Bowel Resection).
05:45:00 AM
Schedule Monitorinfoagent
Schedule loaded successfully. 15 cases queued: 07:30–18:00 window, 8 OR rooms.
05:45:01 AM
Readiness ReviewerinforeadinessCASE-001
CASE-001 Margaret Chen: CBC ✓ | BMP ✓ | PT/INR ✓ | Type & Screen ✓ — all labs within validity period.
05:45:02 AM
Readiness ReviewerinforeadinessCASE-001
CASE-001 Margaret Chen: CT Abdomen/Pelvis ✓ | Chest X-Ray ✓ | Consent ✓ | GI clearance ✓.
05:45:03 AM
Readiness ReviewerinforeadinessCASE-001
CASE-001 READY (97/100). All requirements met. Laparoscopic Colectomy cleared for 07:30.
05:45:08 AM
Briefing GeneratorinfobriefingCASE-001
Surgical briefing generated for CASE-001 Margaret Chen — Laparoscopic Colectomy. 3 key risks documented.
05:45:09 AM
Readiness ReviewerinforeadinessCASE-002
CASE-002 Robert Martinez: CBC ✓ | BMP ✓ | PT/INR ✓ | HbA1c 7.4% ✓ | Type & Screen ✓.
05:45:10 AM
Readiness ReviewercriticalreadinessCASE-002
CASE-002 CRITICAL: Cardiology clearance PENDING — requested 2026-05-27 from Dr. Pham, not received. Patient has active CAD.
05:45:10 AM
Readiness ReviewerwarningreadinessCASE-002
CASE-002 AT RISK (62/100). Missing cardiology clearance for CAD patient prior to major orthopedic surgery.
05:45:11 AM
Care CoordinatorcriticalactionCASE-002
ACTION DISPATCHED: Escalation sent to Dr. Pham (Cardiology) — Urgent clearance required for Robert Martinez by 06:00.
05:45:11 AM
Care CoordinatorhighactionCASE-002
ACTION DISPATCHED: Surgeon alert sent to Dr. Michael Torres — cardiology clearance pending for 09:00 THA case.
05:45:12 AM
Care CoordinatorhighactionCASE-002
ACTION DISPATCHED: Pre-op nursing notified — CASE-002 may arrive without clearance, hold protocol prepared.
05:45:16 AM
Briefing GeneratorwarningbriefingCASE-002
Surgical briefing generated for CASE-002 Robert Martinez — AT RISK flag prominently included. 4 key risks.
05:45:18 AM
Readiness ReviewercriticalreadinessCASE-003
CASE-003 CRITICAL: CBC never ordered — patient has documented anemia, hemoglobin status unknown.
05:45:19 AM
Readiness ReviewercriticalreadinessCASE-003
CASE-003 CRITICAL: Coagulation panel missing for major gynecologic oncology surgery.
05:45:19 AM
Readiness ReviewercriticalreadinessCASE-003
CASE-003 CRITICAL: Surgical AND anesthesia consent forms both unsigned — patient never completed pre-op visit.
05:45:20 AM
Readiness ReviewercriticalreadinessCASE-003
CASE-003 BLOCKED (23/100). 4 critical items missing. Robotic Hysterectomy 11:00 CANNOT proceed.
05:45:22 AM
Care CoordinatorcriticalactionCASE-003
ACTION DISPATCHED: Critical escalation to Dr. Elena Patel — case BLOCKED, 4 missing requirements, immediate patient contact required.
05:45:23 AM
Care CoordinatorcriticalactionCASE-003
ACTION DISPATCHED: Pre-op coordinator alerted — emergency pre-op visit required for Patricia Williams to obtain consent.
05:45:23 AM
Care CoordinatorcriticalactionCASE-003
ACTION DISPATCHED: OR scheduling ticket created — OR-2 slot held pending resolution. Contingency case identified.
05:45:27 AM
Briefing GeneratorcriticalbriefingCASE-003
Surgical briefing generated for CASE-003 Patricia Williams — BLOCKED. All missing items prominently flagged.
05:45:28 AM
Readiness ReviewerinforeadinessCASE-004
CASE-004 James Thompson: All labs current — CBC, BMP (Cr 1.8 CKD noted), Coagulation, BNP (387 elevated), Type & Screen ✓.
05:45:29 AM
Readiness ReviewercriticalreadinessCASE-004
CASE-004 CRITICAL: Cardiac catheterization EXPIRED — 122 days old. TAVR protocol requires <90 days for CAD patients.
05:45:30 AM
Readiness ReviewerwarningreadinessCASE-004
CASE-004 AT RISK (51/100). Expired cardiac cath blocks TAVR institutional protocol. Echo and CTA current. Clearances received.
05:45:34 AM
Care CoordinatorcriticalactionCASE-004
ACTION DISPATCHED: Critical escalation to Dr. James Wilson + Cardiology — TAVR cath expired (122d), repeat cath or written waiver required by 07:00.
05:45:34 AM
Care CoordinatorhighactionCASE-004
ACTION DISPATCHED: Anesthesiologist Dr. Marcus Webb notified — LVEF 32%, elevated BNP 387, CKD contrast protocol required.
05:45:40 AM
Briefing GeneratorwarningbriefingCASE-004
Surgical briefing generated for CASE-004 James Thompson — AT RISK, high-complexity TAVR. 5 key risks documented.
05:45:41 AM
Readiness ReviewerwarningreadinessCASE-008
CASE-008 Jennifer Lee: Iodine allergy detected — surgical prep protocol requires ChloraPrep substitution. No Betadine.
05:45:41 AM
Care CoordinatorhighactionCASE-008
ACTION DISPATCHED: OR-3 nursing notified — iodine allergy, ChloraPrep required for skin prep on CASE-008.
05:45:42 AM
Readiness ReviewerwarningreadinessCASE-011
CASE-011 Michael Brown: Cardiology clearance (stress echo) pending since 2026-05-25. Prostatectomy 10:30.
05:45:42 AM
Care CoordinatorhighactionCASE-011
ACTION DISPATCHED: Cardiology department escalated — stress echo review required for Michael Brown before 10:30 case.
05:45:43 AM
Readiness ReviewercriticalreadinessCASE-012
CASE-012 Linda Johnson: Type & Screen never ordered — patient has Hgb 9.2, high transfusion risk for urgent bowel resection.
05:45:43 AM
Care CoordinatorcriticalactionCASE-012
ACTION DISPATCHED: Surgeon + Blood Bank escalated — STAT Type & Screen required for Linda Johnson. Cannot proceed without blood products available.
05:45:44 AM
Care CoordinatorhighactionCASE-014
ACTION DISPATCHED: Dr. David Nguyen + anesthesia team notified — contrast dye allergy pre-medication protocol confirmation required for CASE-014.
05:45:45 AM
Briefing Generatorinfobriefing
Surgical briefings generated for all 15 cases. 9 ready, 4 at risk, 2 blocked.
05:45:47 AM
Systeminfosystem
Beacon analysis complete. Run time: 47.3s. 15 cases reviewed, 14 coordination actions dispatched.
05:45:47 AM
Systeminfosystem
Summary: 9 Ready (60%) · 4 At Risk (27%) · 2 Blocked (13%). Estimated OR time protected: 120 minutes.
05:46:02 AM
Systeminfosystem
Beacon results delivered to OR Schedule dashboard, Readiness Command Center, and Executive Metrics.