CLINICAL DISCOVERY · 2026

Twenty-five conversations. Five hospitals. One recurring gap.

A pre-pilot clinical discovery and co-design case study examining the information gap between triage and provider evaluation. Prepared for emergency-department nursing and operational leaders.

Version 2.0 Length 42 pages Chicago, IL Aug 2026
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Atronics Labs · Aug 2026 · Chicago
JESSIE: Continuous Patient Reassessment in the Emergency Department
A pre-pilot clinical discovery and co-design case study.
01Executive summaryp.3
02The operational problemp.5
03Methodology & evidence boundariesp.8
04What stakeholders revealedp.11
05Edward Hospital workflow examplep.16
06–11Workflow, alerting, deployment, pilot, askp.20+
Appendices · economic model, evidence registryp.38
Shared with qualified operators, clinicians, and investors.
25+
Stakeholder conversations across nursing and clinical leadership
5
Chicago-area health systems represented
10
Coded interview units in supplied notes
4
Primary operational outcomes the pilot will measure
What stakeholders revealed

Two themes surfaced in nine out of ten interviews.

Ten coded units of stakeholder feedback across five health systems. Two themes dominated — information continuity and workload burden. Every other theme sat well below.

Information continuity gaps
Stale info, repeated stories, uncertain patient status
9 / 10
Workload, time, or coordination burden
Manual reassessment, cross-station handoffs
9 / 10
Capacity or bed-flow constraints
Physical space, throughput, boarding
4 / 10
Language or communication barriers
Non-English speakers, interpreter delay
3 / 10
Reactive or periodic monitoring
Vitals every 2 hours — nothing between
3 / 10
The waiting gap, in one line

“The waiting room is not empty time. It is an underused clinical and operational environment.”

Paraphrased from stakeholder interviews

Modeled economic opportunity

Numbers a CFO cares about — before a single pilot.

Modeling based on discovery-partner data. Full assumptions, sensitivities, and mid-point calculations are documented in Appendix C of the case study.

Finding 01
17 10min

41% reduction in targeted work

Internal mid-point model: 17 current staff minutes vs. 10 Jessie-assisted minutes per eligible encounter.

Finding 02
$272K

Retained revenue per large ED, per year

At an 80,000-visit ED with a 2% LWBS baseline and $680 per encounter, a 25% intervention success rate models $272K retained on $1.09M exposure.

Finding 03
90days

Recommended evidence path

Structured 90-day deployment: 2–3 weeks in silent mode calibrating against clinical judgment, then live alerts and outcome measurement.

Non-negotiable guardrails

What Jessie will never do.

The case study opens with these constraints, not features. Every architectural decision is downstream of them.

No independent diagnosis

Jessie doesn't tell the patient what's wrong, and doesn't make treatment recommendations.

No autonomous ESI changes

Acuity assignment and reassignment stay with the clinician. Always.

No routing away from ED care

Jessie surfaces changes. It does not divert patients to lower levels of care.

No silent word replacement

Patient words are preserved verbatim in the chart alongside any AI structuring. Nothing gets paraphrased into the record.

Where we did the listening

Discovery conversations across five Chicago-area health systems.

These are the organizations where our discovery interviews took place. They are not pilot partners, customers, or endorsers of Atronics Labs — they are the clinicians and operators who generously shared their time so we could learn.

NM
Northwestern Memorial
Academic · Chicago
LC
Lurie Children's
Pediatric · Chicago
EV
Evanston / NorthShore
Community · Evanston
EH
Edward Hospital
Community · Naperville
SF
St. Francis
Community · Evanston

Institutional names are referenced solely to describe the geographic and organizational scope of our discovery fieldwork. Names shown here as monogram badges pending publication permissions. No affiliation, partnership, sponsorship, or endorsement is implied.

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Read the full case study.

A 42-page pre-pilot clinical discovery. Shared privately with qualified operators, clinicians, and investors. We'll send you the full PDF within two business days.

What's inside
  • 01Executive summary and the operational problem statement
  • 02Methodology, evidence boundaries, and coded stakeholder themes
  • 03Edward Hospital comparative workflow example
  • 04Jessie proposed workflow with clinical authority guardrails
  • 05Deployment architecture: edge, network, identity, EHR
  • 06Proposed pilot, matched comparison, and 90-day evidence path
  • 07Economic model, sensitivities, and partnership ask
  • 08Appendices: technical, accessibility, evidence registry

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