An inbox total does not show which work is stuck.

CLINOPILOT WORKFLOW CHECK
A message count can conceal aging items, routing loops and unclear ownership. Distinguish incoming volume from unresolved work.

Proposed steps
1. Choose an agreed message category and review period. Use approved aggregate reporting rather than exporting patient messages.
2. Review volume, unresolved age, routing and turnaround together. Keep definitions consistent.
3. Choose one operational exception, assign its next owner and review after the agreed response. Clinical priority decisions stay with the responsible team.

Checklist
[ ] The category and review period are defined.
[ ] Incoming work is separate from unresolved items.
[ ] Oldest-item age and owner are visible in approved reporting.
[ ] A routing or ownership change has an agreed review.

Illustrative example, not a client record
Category: Fictional administrative request
Issue: Repeated reassignment between roles
Check: Confirm the routing rule and final responsible role
Measure: Unresolved age and repeat reassignments
Review: Compare the same category and definitions after an agreed change

Test
Use fictional messages with different ages and owners. Is an old, repeatedly reassigned item visible even when the total count looks ordinary?

Candidate local measure
Candidate local measures: volume, unresolved age, routing repetition and turnaround by category. A lower count alone does not establish less work or better care.

Scope
The research is descriptive. This proposed check is not a validated burnout score or evidence of a causal improvement.

Independent published evidence
Alberta specialist In Basket study (Peer-reviewed descriptive study)
The study examined In Basket time, message volume and turnaround among Alberta specialists.
Its setting and descriptive design do not establish a universal benchmark or show that this checklist reduces workload.
https://www.jmir.org/2024/1/e53122/

https://clinopilot.com/proof/inbox-backlog/
Use approved tools and fictional or process-level examples. Do not add patient information to public requests.