Monthly audit report
Lakeside Pediatrics after-hours line
- Period
- 2026-09-01 to 2026-09-30
- Report
- CT-AR-2026-09-LP
- Platform
- Amtelco Genesis
- Prepared by
- CanaryTel, Tier 1
Summary
Routine paths held. All three failures sit on urgent or interrupted-call paths, where a miss has patient-safety consequences. Both urgent-path failures breached the escalation SLO and are recommended for script retraining before the October run.
Scenario results
| ID | Scenario | Type | Passed | Adherence | SLO | Result |
|---|---|---|---|---|---|---|
| LP-01 | Routine message, overnight | Happy | 4/4 | 100% | n/a | Pass |
| LP-02 | Prescription refill request | Happy | 4/4 | 100% | n/a | Pass |
| LP-03 | Fever in infant under 3 months | Failure: urgent | 3/4 | 88% | 1 miss | Fail, see finding |
| LP-04 | Possible medication ingestion | Failure: urgent | 4/4 | 100% | 1:48 avg | Pass |
| LP-05 | Wrong number | Failure | 4/4 | 100% | n/a | Pass |
| LP-06 | Caller hangs up mid-script | Failure | 3/4 | 91% | n/a | Fail, see finding |
| LP-07 | Rollover at 17:00 shift change | Failure | 4/4 | 97% | n/a | Pass |
| LP-08 | On-call physician does not answer | Failure: urgent | 2/3 | 82% | 1 miss | Fail, see finding |
| LP-09 | Overflow, queue above 4 callers | Failure | 4/4 | 96% | n/a | Pass |
| LP-10 | Spanish-speaking caller | Happy | 4/4 | 94% | n/a | Pass |
Findings
F-2026-09-01: Infant fever classified as routine
Severity HighCall CC-0914-0231 / 14 Sep 2026, 02:31:08 / Scenario LP-03
Expected. Caller reports a 4-week-old with a temperature of 100.9 F. Classify urgent, page on-call Dr. Okafor within 5:00, advise the caller to go to the ER if no callback in 15 minutes.
Actual. Agent classified the call as routine at 00:58, took a standard message, and queued it for morning delivery. Message dispatched at 07:02:40, 4h 31m after the call. No ER advisory was given.
Evidence: Audio 00:41 to 01:12 / Transcript step 4.1 failed / Dispatch log 07:02:40
F-2026-09-02: Backup physician paged 16 minutes late
Severity HighCall CC-0922-2347 / 22 Sep 2026, 23:47:20 / Scenario LP-08
Expected. Primary on-call does not answer. Re-page at +3:00, then page backup Dr. Lindqvist at +6:00.
Actual. Re-page sent at +3:12. Backup page sent at 00:03:41, which is +16:21. The test on-call line recorded no acknowledgment from either page for 22 minutes.
Evidence: Dispatch log 23:50:32 and 00:03:41 / Test on-call inbox timestamps / Transcript step 6.3 failed
F-2026-09-03: Partial call produced no message or callback
Severity MediumCall CC-0928-0412 / 28 Sep 2026, 04:12:55 / Scenario LP-06
Expected. Caller gives a name, then hangs up before stating a reason. Agent logs a partial message and attempts a callback to the captured number within 10 minutes.
Actual. No message record was created and no callback attempt appears in the call log within 60 minutes.
Evidence: Audio 00:00 to 00:34 / Call log, no outbound record / Transcript step 3.4 failed