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Hospital workflows in Johannesburg are shaped by the realities of Gauteng's healthcare infrastructure. Coordinating patient transfers between facilities, managing load-shedding protocols for intensive care units, and ensuring continuity of power-dependent treatments requires systems that account for these pressures. Tertiary facilities here operate in an environment where Eskom outages are factored into theatre scheduling, where medical aid pre-authorisation processes run parallel to clinical pathways, and where trauma cases arrive unpredictably throughout day and night. The work involves not just treatment but logistics—theatre scheduling around infrastructure constraints, maintaining cold-chain medications during power cuts, and managing patient flow through departments that often operate at or above capacity. Success means keeping complex systems running smoothly regardless of external disruptions.
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