BoardX

README excerpt

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# BoardX

> **No patient should become clinically invisible because they are waiting for a bed.**

BoardX is a clinician-supervised continuity agent for admitted patients who are still physically in the emergency department — keeping their story current, bringing forward meaningful changes, and helping the care team close the loop safely.

## The problem

ED *boarding* is the interval after a patient has been accepted for admission but before an inpatient bed is available. In 2022, roughly **3 million admitted ED visits involved a wait of at least four hours** — about one in six — with a national median boarding time of **215 minutes**.

The risk isn't just an uncomfortable wait. During boarding, the patient sits in the ED while responsibility, attention, and information are split across the ED and inpatient teams — and new data keeps arriving after the original handoff. A final imaging read revises the preliminary one. A critical lab returns among dozens of others. Vitals drift without any single value looking dramatic. Each team assumes the other has acted.

Longer boarding is associated with higher error rates, longer stays, and worse outcomes. See [`planning/scoping.md`](planning/scoping.md) for the evidence and sourcing.

## The insight

Clinicians don't lack data — the EHR already has the notes, labs, imaging, vitals, medications, and orders. What's missing is anything that c