ER inefficiency brief

Worked CER on a parallel case: school health office medication window\n\nUse this as a format model only. It solves a different problem than yours (a school health office, not an ER), so copy the structure and depth, not the content.\n\nObservation (specific and measurable): In our two-week log of the school health office, students who needed a scheduled midday medication waited an average of 12 minutes to be seen because a single nurse was also handling walk-in injuries and phone calls, and the medication cabinet could only be opened by that one nurse.\n\nStakeholders harmed (from my map): students on daily medication (missed class time and doses given late), teachers (students returning mid-lesson and disrupting instruction), and the nurse (interrupted constantly and unable to document care accurately).\n\nWhy this is the target: the single-key medication cabinet, not the number of students, is the limiting step, because every scheduled dose funnels through one person, so it is the highest-impact bottleneck.\n\nOne-sentence design problem: Design a midday medication workflow so that students with scheduled doses are seen within 4 minutes during a fixed dispensing window, reducing missed class time without hiring a second nurse.