Parallel Care Engine - Emergency Department

Parallel Care Engine (PCE) is an AI-augmented emergency-department triage and flow system that runs six specialised agents in parallel on every patientarrival, compressing the work that traditionally happens sequentially over hours into seconds. Agent 1 produces a continuous 0–100 risk score on top of the deterministic ESI level. Agent 2 scans for life-threatening red flags and can override the queue with an ESI-1 alert. Agent 3 generates apre-emptive lab and imaging workup constrained by a protocol whitelist, so nurses can start orders before the doctor sees the patient. Agent 4 is aseverity-aware load balancer: it assigns the right seniority of doctor for the acuity, and when every doctor is busy it bumps the globally least-severe patient — never displacing a higher-acuity case for a milder one. Agent 5 forecasts disposition (discharge, admit, ICU, transfer) early so beds can bepre-reserved. Agent 6 drafts the exit packet — instructions, handover note, GP letter, prescription notes — for clinician review before discharge. A real-time HTML5-canvas ED-flow dashboard visualises every patient as they move through triage, waiting room, labs, treatment bays, and exit, with aconfigurable simulation clock so teams can rehearse surge scenarios.