Not a Clinical Error
Failure to Rescue — the preventable death or injury of a patient whose deterioration was not recognized and acted upon in time — is the leading cause of avoidable hospital mortality worldwide. Conservative estimates cite 400,000 reported deaths annually in the U.S. alone. Studies consistently show up to 60% of cases go unreported. The actual toll is closer to one million Americans each year.
FTR does not happen only in ICUs. It happens on surgical floors, in long-term care facilities, after discharge, and inside psychiatric units. It happens when monitoring is fragmented, escalation is suppressed, and the clinician at the bedside has no objective data to back what their clinical instincts already know.
"I was the rapid response nurse in five of the six case studies on our website. In Case A, I arrived after a missed stroke protocol led to a catastrophic bleed. In Case B, I watched a hospitalist dismiss objective deterioration because there was no data to prove what every clinician in the room could see. In the cardiac case, I refused an unsafe assignment for a fresh post-arrest patient, escalated through every available channel, and reported the institution externally. I built PRISMqd because the technology that should have existed in every one of those moments did not."
All cases documented by Jennifer Torrez, BSN, RN as responding rapid response nurse. Published frameworks available at Zenodo (DOI: 10.5281/zenodo.18237155).
Has Never Existed
PRISMqd is a predictive patient safety ecosystem that unites expanded physiologic monitoring, real-time clinical decision support, and closed-loop escalation into a single, auditable layer across the care continuum — hospital, sub-acute, and home.
- LineMap ships first. A real-time IV line and medication management tool. Constraint-solving engine. Deployable on existing hardware. No EHR integration required at MVP. Immediate revenue path via per-seat licensing.
- Expanded monitoring layer. 30–35 signal dimensions across HR, HRV, EtCO₂, EEG-lite, GSR, NIRS, actigraphy, and acoustic sensors — detecting deterioration hours before standard vital signs show change.
- Explainable, auditable outputs. Every recommendation carries traceable rationale. No black-box decisions. Designed for regulatory defensibility and clinician trust.
- Trauma-informed interface design. Built for use under cognitive overload, alarm fatigue, and crisis conditions. 3-second comprehension standard. Clinician autonomy preserved at every step.
- Cross-site continuity. Patient risk profile travels with the patient — from ICU to floor to sub-acute to home — without reset.
- Founder & team compensation — full-time focus on build
- Hardware development — additional prototypes + enclosures
- Clinical AI infrastructure — API access, explainability layer
- Outbound sales hire — hospital and sub-acute market entry
- Pilot support — regulatory, technical, clinical documentation
- Conference & marketing — targeted clinical and investor audience