Read the unit
Weekly roster burden plus an anonymous opt-in pulse, suppressed below the configured k-threshold.
WardCheck connects roster conditions to anonymous unit signals, records the action taken, and shows what changed, without named staff surveillance.
Aggregate-only by design. No patient or EHR data. No individual scores. No clinical, performance, accreditation, or effectiveness claims.

In between, unit strain changes with the roster. Leaders run debriefs, sessions, and roster adjustments, but the action rarely leaves a structured record for the next quality or wellbeing review.
Weekly roster burden plus an anonymous opt-in pulse, suppressed below the configured k-threshold.
A manager and workforce-wellbeing owner record one bounded intervention with a target metric.
A before/after readout is labelled observational and packaged for internal governance.
BreatheAct supplies anonymous unit signals. Equinurse reads roster burden and fairness. WardCheck joins them into an action loop.
De-identified shift extract is checked against the unit configuration.
Unit Risk Brief shows the pattern and its suppression state.
One 20–30 minute review with the unit owner.
One action, one role owner, one target metric.
Observational change readout and limitations page.
Roster burden is flagged; aggregate pulse is watch. Three deterministic actions are shown; the unit chooses one.
Inspect the full synthetic brief →Owner role, target metric, review window, and a plain-language before/after readout. No named employee appears in the register.
Inspect the register →Governance templates and the data ladder are available at /governance/. The public demo uses invented data only.
Paper 1 is a protocol/methods draft using public and synthetic data. A later pilot implementation report requires institutional approval, ethics/QI review, agreed authorship, and publication terms.
For a CNO or Director of Nursing, with Nursing Quality or Workforce Wellbeing as operational owner.
This is an occupational-wellbeing evidence pilot. It does not guarantee retention, staffing, wellbeing, accreditation, compliance, or clinical outcomes. A waived design-partner pilot requires a written institutional agreement.