Branching scenario
Teams and Teamwork Branching Scenario
Start
Bifurcation Scenario
Round 1: Emergency Department Arrival
Bifurcation Scenario
Round 2: Emergency Department Course
Bifurcation Scenario
Round 2: Emergency Department Course
Bifurcation Scenario
Write a great headline
Bifurcation Scenario
Consequence
The patient’s BP drops rapidly, leading to a near syncopal episode and an urgent response call overnight.
Go Back
Go to round 3
Bifurcation Scenario
Consequence
The stimulant (yohimbine) is identified. Beta-blocker is held. Safer alternatives selected.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
Delayed intervention leads to worsening renal perfusion. Creatinine rises.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
The patient is stabilized safely. He and his wife are reassured that he’s in good hands.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
His BP remains elevated. The wife expresses concern about lack of active treatment.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
On morning rounds, the patient reports dizziness. The team delays discharge by 24 hours.
Go to Round 3
Go Back
Bifurcation Scenario
Consequence
The stimulant connection is missed. Patient is discharged later and readmitted in 72 hours with acute decompensation.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
The underlying issue is uncovered. The plan is revised collaboratively.
Go to Round 3
Go Back
Bifurcation Scenario
Consequence
Resources are misallocated. Diagnosis delayed another day.
Go Back
Go to Round 3
Bifurcation Scenario
Round 3 hospital day 1
Bifurcation Scenario
Consequence
Patient nods politely but misunderstands the diuretic dosing. His wife later confuses “morning pill” with carvedilol, not furosemide.
Go Back
Go to Round 4
Bifurcation Scenario
Consequence
The team confirms patient understanding via teach-back. Wife asks critical questions. A pill organizer is arranged.
Go Back
Go to Round 4
Bifurcation Scenario
Consequence
Meds are explained, but patient never told when to seek care if symptoms worsen.
Go Back
Go to Round 4
Bifurcation Scenario
Round 4: Hospital Day 2 - Medication Clarity
Bifurcation Scenario
Consequence
Herbal supplement is discontinued permanently. Roles of each med are clarified. Patient agrees to a simplified regimen.
Go Back
Go to Round 5
Bifurcation Scenario
Consequence
Key information is delivered, but rushed. Wife forgets insulin timing. Supplement use is not directly addressed.
Go Back
Go to Round 5
Bifurcation Scenario
Consequence
Discharge proceeds. Home health later finds patient restarted the supplement believing it was “natural and safe.”
Go Back
Go to Round 5
Bifurcation Scenario
Round 5: Transition to Home
Bifurcation Scenario
Consequence
The diuretic is being taken at night instead of morning. Correction made. Patient improves.
Go Back
Go to Round 6
Bifurcation Scenario
Consequence
The supplement is discovered again. Instructions are clarified. PCP updated.
Go Back
Go to Round 6
Bifurcation Scenario
Consequence
Patient gains 4 lbs and reports dizziness. He returns to the ED 3 days later.
Go Back
Go to Round 6
Bifurcation Scenario
Round 6: Home Management or Deterioration
Bifurcation Scenario
Consequence
Vitals stable, but med errors discovered. He's admitted overnight for observation.
Go Back
Go to Round 7
Bifurcation Scenario
Consequence
Patient gains 4 lbs and reports dizziness. He returns to the ED 3 days later.
Go Back
Go to Round 7
Bifurcation Scenario
Consequence
Home visit prevents readmission. Family engagement improves. Chart updated.
Go Back
Go to Round 7
Bifurcation Scenario
Round 7: Follow-Up and Adjustments
Bifurcation Scenario
Consequence
BP improves. Dizziness resolved. Patient confidence returns.
Go Back
Go to Round 8
Bifurcation Scenario
Consequence
Specialist confirms optimal CHF plan. Referral builds trust.
Go Back
Go to Round 8
Bifurcation Scenario
Consequence
BP rises again. Symptoms unclear. Wife becomes more hesitant to administer meds.
Go Back
Go to Round 8
Bifurcation Scenario
Round 8: Preventive Telehealth or Rehospitalization
Bifurcation Scenario
Consequence
Fluid restriction and med titration discussed. No admission needed.
Go Back
Go to Round 9
Bifurcation Scenario
Consequence
Multidisciplinary visit addresses diet, meds, symptoms. Symptom tracker started.
Go Back
Go to Round 9
Bifurcation Scenario
Consequence
Delayed reporting. Patient presents to ED 48 hours later with worsening SOB.
Go Back
Go to Round 9
Bifurcation Scenario
Round 9: Final Hospitalization or Stability
Bifurcation Scenario
Consequence
Adherence improves. Patient uses med organizer. No readmission.
Go Back
Go to Round 10
Bifurcation Scenario
Consequence
Patient confuses insulin and diuretic doses. PCP clarifies later.
Go Back
Go to Round 10
Bifurcation Scenario
Consequence
Care team follows closely. Long-term plan developed.
Go Back
Go to Round 10
Bifurcation Scenario
Round 10: 30-Day Outcome & Reflection
It’s been 30 days. Mr. Rodriguez has avoided readmission. He reports checking his weight, using the pillbox, and calling the clinic with questions. His wife says, “We finally understand what to do.” Debrief Prompts: Where was the turning point in this case? Which professions carried key responsibilities? What role did language and trust play in outcomes? What would your discipline do differently next time?
Next
Bifurcation Scenario
End of Branching Scenario
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Teams and Teamwork HSSD Branching Scenario
David
Created on May 29, 2026
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Transcript
Branching scenario
Teams and Teamwork Branching Scenario
Start
Bifurcation Scenario
Round 1: Emergency Department Arrival
Bifurcation Scenario
Round 2: Emergency Department Course
Bifurcation Scenario
Round 2: Emergency Department Course
Bifurcation Scenario
Write a great headline
Bifurcation Scenario
Consequence
The patient’s BP drops rapidly, leading to a near syncopal episode and an urgent response call overnight.
Go Back
Go to round 3
Bifurcation Scenario
Consequence
The stimulant (yohimbine) is identified. Beta-blocker is held. Safer alternatives selected.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
Delayed intervention leads to worsening renal perfusion. Creatinine rises.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
The patient is stabilized safely. He and his wife are reassured that he’s in good hands.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
His BP remains elevated. The wife expresses concern about lack of active treatment.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
On morning rounds, the patient reports dizziness. The team delays discharge by 24 hours.
Go to Round 3
Go Back
Bifurcation Scenario
Consequence
The stimulant connection is missed. Patient is discharged later and readmitted in 72 hours with acute decompensation.
Go Back
Go to Round 3
Bifurcation Scenario
Consequence
The underlying issue is uncovered. The plan is revised collaboratively.
Go to Round 3
Go Back
Bifurcation Scenario
Consequence
Resources are misallocated. Diagnosis delayed another day.
Go Back
Go to Round 3
Bifurcation Scenario
Round 3 hospital day 1
Bifurcation Scenario
Consequence
Patient nods politely but misunderstands the diuretic dosing. His wife later confuses “morning pill” with carvedilol, not furosemide.
Go Back
Go to Round 4
Bifurcation Scenario
Consequence
The team confirms patient understanding via teach-back. Wife asks critical questions. A pill organizer is arranged.
Go Back
Go to Round 4
Bifurcation Scenario
Consequence
Meds are explained, but patient never told when to seek care if symptoms worsen.
Go Back
Go to Round 4
Bifurcation Scenario
Round 4: Hospital Day 2 - Medication Clarity
Bifurcation Scenario
Consequence
Herbal supplement is discontinued permanently. Roles of each med are clarified. Patient agrees to a simplified regimen.
Go Back
Go to Round 5
Bifurcation Scenario
Consequence
Key information is delivered, but rushed. Wife forgets insulin timing. Supplement use is not directly addressed.
Go Back
Go to Round 5
Bifurcation Scenario
Consequence
Discharge proceeds. Home health later finds patient restarted the supplement believing it was “natural and safe.”
Go Back
Go to Round 5
Bifurcation Scenario
Round 5: Transition to Home
Bifurcation Scenario
Consequence
The diuretic is being taken at night instead of morning. Correction made. Patient improves.
Go Back
Go to Round 6
Bifurcation Scenario
Consequence
The supplement is discovered again. Instructions are clarified. PCP updated.
Go Back
Go to Round 6
Bifurcation Scenario
Consequence
Patient gains 4 lbs and reports dizziness. He returns to the ED 3 days later.
Go Back
Go to Round 6
Bifurcation Scenario
Round 6: Home Management or Deterioration
Bifurcation Scenario
Consequence
Vitals stable, but med errors discovered. He's admitted overnight for observation.
Go Back
Go to Round 7
Bifurcation Scenario
Consequence
Patient gains 4 lbs and reports dizziness. He returns to the ED 3 days later.
Go Back
Go to Round 7
Bifurcation Scenario
Consequence
Home visit prevents readmission. Family engagement improves. Chart updated.
Go Back
Go to Round 7
Bifurcation Scenario
Round 7: Follow-Up and Adjustments
Bifurcation Scenario
Consequence
BP improves. Dizziness resolved. Patient confidence returns.
Go Back
Go to Round 8
Bifurcation Scenario
Consequence
Specialist confirms optimal CHF plan. Referral builds trust.
Go Back
Go to Round 8
Bifurcation Scenario
Consequence
BP rises again. Symptoms unclear. Wife becomes more hesitant to administer meds.
Go Back
Go to Round 8
Bifurcation Scenario
Round 8: Preventive Telehealth or Rehospitalization
Bifurcation Scenario
Consequence
Fluid restriction and med titration discussed. No admission needed.
Go Back
Go to Round 9
Bifurcation Scenario
Consequence
Multidisciplinary visit addresses diet, meds, symptoms. Symptom tracker started.
Go Back
Go to Round 9
Bifurcation Scenario
Consequence
Delayed reporting. Patient presents to ED 48 hours later with worsening SOB.
Go Back
Go to Round 9
Bifurcation Scenario
Round 9: Final Hospitalization or Stability
Bifurcation Scenario
Consequence
Adherence improves. Patient uses med organizer. No readmission.
Go Back
Go to Round 10
Bifurcation Scenario
Consequence
Patient confuses insulin and diuretic doses. PCP clarifies later.
Go Back
Go to Round 10
Bifurcation Scenario
Consequence
Care team follows closely. Long-term plan developed.
Go Back
Go to Round 10
Bifurcation Scenario
Round 10: 30-Day Outcome & Reflection
It’s been 30 days. Mr. Rodriguez has avoided readmission. He reports checking his weight, using the pillbox, and calling the clinic with questions. His wife says, “We finally understand what to do.” Debrief Prompts: Where was the turning point in this case? Which professions carried key responsibilities? What role did language and trust play in outcomes? What would your discipline do differently next time?
Next
Bifurcation Scenario
End of Branching Scenario
Thank you for completing this activity. Please wait for further instruction.
Restart