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Queue eliminated

The queue disappeared because the workflow changed.

Cycle time falls materially when organizations stop feeding every item through the same serial queue. These cases use straight-through lanes, redesigned intake, coordinated routing, or exception-based work to remove waiting rather than merely accelerate one task.

Inclusion criteria

Includes cases tagged queue elimination, straight-through processing, intake redesign, or coordination compression. The change must remove or bypass a material queue or handoff.

30 cases · bundle 1.0.0 · reviewed 2026-08-23

01

Johns Hopkins Children's Center / Johns Hopkins Medicine

Editorial lead

Autonomous AI diabetic eye exam at point of care (ACCESS RCT; LumineticsCore/IDx-DR)

Closing the diabetic eye-screening care gap requires persuading youth to attend a separate specialist appointment. Instead, the diagnostic exam itself is brought into the routine diabetes visit and read autonomously by AI in under a minute.

Current · updated

3 peer reviewed, 2 primary; publication outcomes are verified.

Canonical case →

03

Meta (Facebook)

Editorial lead

Predictive Test Selection for change-based regression testing

That every code change must run every test that transitively depends on modified files in order to catch regressions before trunk. Meta's predictive model estimates each test's likelihood of catching a regression for a specific change, so a much smaller learned subset can be run without loss of regression signal.

Current · updated

1 peer reviewed, 1 primary; publication outcomes are verified.

Canonical case →

04

Greater Houston primary stroke centers

Editorial lead

Automated LVO detection with parallel transfer notification

Large-vessel occlusion at a non-thrombectomy primary stroke center has to be recognized and the receiving team activated through sequential imaging review and conventional communication before transfer can start.

Current · updated

4 peer reviewed; publication outcomes are verified.

Canonical case →

05

AIA Group

Editorial lead

GenAI-enabled medical claims straight-through processing

Medical claims require a human to read every document before payment. AIA instead built a three-tier GenAI stack (OCR intake, report summarization, auto-adjudication plus FWA anomaly detection) so most claims complete without human touch.

Current · updated

2 primary; publication outcomes are verified and reported.

Canonical case →

07

Ocado Group / Ocado Retail

On-Grid Robotic Pick at Luton CFC

Robotic arms can pick more grocery items on-grid while people handle exceptions and fulfillment operations.

Current · updated

1 primary; publication outcomes are verified.

Canonical case →

09

Georgia State University

Pounce summer-melt support

Enrollment support does not require counselors to initiate and answer every routine student interaction; a task-aware assistant can provide personalized outreach while routing exceptions to staff.

Current · updated

1 independent, 1 peer reviewed, 2 primary; publication outcomes are verified and reported.

Canonical case →

10

JPMorgan Chase

COiN agreement extraction

Defined attributes can be extracted across annual volume while lawyers handle interpretation exceptions.

Current · updated

1 independent, 1 primary; publication outcomes are reported.

Canonical case →

11

Justice Connect

Free-text legal-problem classification

People seeking legal help should describe their problem, not diagnose its legal category before they can ask for help.

Current · updated

1 independent, 1 primary; publication outcomes are reported.

Canonical case →

13

Microsoft Azure

Warden automated incident detection in IcM

A cross-service Azure incident is recognized when a human on-call, seeing only a partial service view, pieces together cascading alerts and declares the incident.

Current · updated

1 peer reviewed, 1 primary; publication outcomes are verified.

Canonical case →

16

Rio Tinto

Autonomous Haulage System for iron-ore operations

A central system can drive mine trucks on fixed routes while people supervise and manage exceptions remotely.

Watch status: verify the cited source and deployment condition before reusing this case.

Watch · updated

Watch status: verify the cited source and deployment condition before reusing this case.

1 primary; publication outcomes are reported.

Canonical case →

23

Montgomery County, Maryland

Monty conversational assistant for county services

A multilingual assistant can answer first-line 311 questions while urgent or unresolved needs route to people.

Watch status: verify the cited source and deployment condition before reusing this case.

Watch · updated

Watch status: verify the cited source and deployment condition before reusing this case.

1 independent; publication outcomes are verified.

Canonical case →

30

HCA Healthcare

SPOT continuous sepsis surveillance

Sepsis surveillance should follow patient data continuously rather than wait for nursing rounds or shift changes.

Watch status: verify the cited source and deployment condition before reusing this case.

Watch · updated

Watch status: verify the cited source and deployment condition before reusing this case.

3 primary; publication outcomes are reported.

Canonical case →