This episode drops you into the centre of real clinical chaos and teaches you how to regain control using the ODT triage system — Owner, Deadline, Threshold. You’ll learn how to replace unsafe juggling with a visible, auditable workflow, protect focus windows for high-risk tasks, batch low-value work, and escalate early before safety collapses. This is one of the highest-yield MSRA frameworks for clinical pressure scenarios.

0:00 The chaos scenario: three interruptions at once
00:28 Why overwhelm is predictable
01:03 Structure > instinct under pressure
01:40 GMC-aligned safe working principles
02:15 The single visible intake list
02:55 Why private lists are unsafe
03:40 ODT: Owner, Deadline, Threshold
04:20 Setting owners to prevent duplication
04:55 Deadlines for hard time limits
05:35 Thresholds for escalation triggers
06:10 Applying ODT to real calls
06:45 Protecting high-risk focus windows
07:20 Interruptions → omission errors
07:50 Declaring focus windows safely
08:20 Restart rules after interruption
09:00 Batching low-value tasks
09:35 When batching becomes unsafe
10:00 Mandatory escalation triggers
10:40 Capacity overload warning signs
11:20 High-scoring escalation phrasing
12:00 Trap answers and why they fail
12:45 Applying ODT to the initial scenario
13:40 Final takeaways and continuity planning

• A single visible list prevents hidden, lost, and duplicated tasks
• ODT instantly triages every input with clear ownership and urgency
• Thresholds determine when escalation is mandatory
• Protect high-risk work with focus windows and restart if interrupted
• Batch low-value tasks only when all clinical thresholds are safe
• Escalate early when capacity is breached or multiple deteriorations occur
• Documentation is part of the safety plan, not optional
• Avoid traps: private lists, instant-response reflexes, unsafe delegation, delayed escalation

Take-home mnemonics:
ODT — Owner, Deadline, Threshold
CUME — Queue (single list), Urgency (ODT), Mandatory escalation, Uninterrupted focus, Execute batching
Threshold Triggers — NEWS2 ≥5–7, overdue antibiotics, critical labs, ≥2 deteriorating patients

Links:
• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards
• freemsra.com – Free podcasts, threads and rapid-learning guides
• msra.io – Smart MSRA Qbank with analytics

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