Test complete journeys
A configuration test can pass while an end-to-end workflow still fails. Rehearse registration, clinical documentation, orders, results, billing and discharge together. Include exceptions such as cancelled orders, corrected results and interrupted connections.
Make the readiness decision explicit
Give every critical workflow an owner and an acceptance criterion. Record what was tested, what failed, the workaround and who accepted the remaining risk. Classify blockers separately from issues that can safely wait.
Prepare people and support
Training attendance does not prove task readiness. Ask users to perform their own workflows. Publish the support route, escalation contacts, shift coverage and process for logging an issue with reproducible details.
Rehearse downtime and recovery
Check how teams identify patients, issue orders, access essential information and document work when the system is unavailable. Rehearse reconciliation after recovery; otherwise downtime creates a second backlog of incomplete records.
Define the first stabilization review
Track incidents, unresolved critical workflows, turnaround times and repeat work. Agree a short daily review during early stabilization, followed by an owned improvement backlog.
A checklist to use with your team
- Can staff complete the highest-risk workflows?
- Are interface failures visible and recoverable?
- Have downtime procedures been rehearsed?
- Are support coverage and escalation routes confirmed?
- Does leadership understand the remaining risk?
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