Pre-Seed · $1.5M Round Open

Failure to Rescue Is a
Design Flaw.
We Fixed It.

PRISMqd is a predictive patient safety ecosystem that unites expanded physiologic monitoring, real-time clinical decision support, and closed-loop escalation — across hospital, sub-acute, and home.

PRISMqd From Risk to Rescue
~1M Estimated annual U.S. Failure to Rescue deaths (reported + unreported)
$118B Annual preventable harm cost to the U.S. healthcare system
60% Estimated FTR cases that go unreported in published studies
Failure to Rescue Is Happening Everywhere — and Everywhere Goes Unrecorded

Failure to Rescue — the preventable death or injury of a patient whose deterioration was not recognized and acted upon in time — is the leading cause of avoidable hospital mortality worldwide. Conservative estimates cite 400,000 reported deaths annually in the U.S. alone. Studies consistently show up to 60% of cases go unreported. The actual toll is closer to one million Americans each year.

FTR does not happen only in ICUs. It happens on surgical floors, in long-term care facilities, after discharge, and inside psychiatric units. It happens when monitoring is fragmented, escalation is suppressed, and the clinician at the bedside has no objective data to back what their clinical instincts already know.

"I was the rapid response nurse in six of the six case studies that form PRISMqd's clinical foundation. In Case A, I arrived after a missed stroke protocol led to a catastrophic bleed. In Case B, I watched a hospitalist dismiss objective deterioration because there was no data to prove what every clinician in the room could see. In the cardiac case, I refused an unsafe assignment for a fresh post-arrest patient, escalated through every available channel, and reported the institution externally. I built PRISMqd because the technology that should have existed in every one of those moments did not."

— Jennifer Torrez, BSN, RN · Founder & CEO, PRISMqd
Documented. Named. Real.
Case A Missed Stroke, Fatal Bleed Heparin administered before CT. Deterioration misread as sleep. Patient died after catastrophic bleed.
Case B Dismissed Escalation RN and RT both recognized impending respiratory failure. No objective data. Hospitalist overruled both. Crash intubation followed.
Case D Unconsciousness Charted as Sleep Morbidly obese patient on BiPAP. No neuro-physiologic monitoring. Patient died after late code blue.
Case E Stigma Over Physiology "Frequent flyer" label suppressed escalation. Untreated OSA drove atrial fibrillation into the 160–200s. Referral deferred.
Case F Unsafe Assignment, Institutional Retaliation Clinician refused an unsafe post-arrest patient assignment, escalated through every available channel, and reported the institution externally. Retaliation followed. The system protected itself instead of the patient.
Case Study · Published Analytic Exemplar Systemic Escalation Failure Across Multi-Institutional Care A published analytic exemplar documenting institutional escalation failure, clinician suppression, and systemic FTR across a multi-site care encounter. Peer-referenced. DOI-registered. Read on Zenodo →

All cases documented by Jennifer Torrez, BSN, RN as responding rapid response nurse.

The Continuous Layer That Has Never Existed

PRISMqd is a predictive patient safety ecosystem that unites expanded physiologic monitoring, real-time clinical decision support, and closed-loop escalation into a single, auditable layer across the care continuum — hospital, sub-acute, and home.

  • LineMap ships first. Coming Soon A real-time IV line and medication management tool. Constraint-solving engine. Deployable on existing hardware. No EHR integration required at MVP. Immediate revenue path via per-seat licensing.
  • Expanded monitoring layer. Multi-dimensional physiologic signal capture across cardiovascular, neurologic, respiratory, and autonomic domains — detecting deterioration hours before standard vital signs show change.
  • Explainable, auditable outputs. Every recommendation carries traceable rationale. No black-box decisions. Designed for regulatory defensibility and clinician trust.
  • Trauma-informed interface design. Built for use under cognitive overload, alarm fatigue, and crisis conditions. 3-second comprehension standard. Clinician autonomy preserved at every step.
  • Cross-site continuity. Patient risk profile travels with the patient — from ICU to floor to sub-acute to home — without reset.
Phased Path to Scale
Phase 1 LineMap per-seat licensing · sub-acute + outpatient SaaS
Phase 2 Hospital-wide deployment · RPM/RTM billing codes $120–180/pt/mo
Phase 3 Full PRISMqd ecosystem · CCM, referral, quality $4.2–6B TAM
Year 3 3.5% U.S. adoption · 1.2M patients $1.8B+ revenue
Already Moving. Already Validated.
Pilot Site CommittedPhysician-initiated (unsolicited) offer. Outpatient family medicine + long-term care. Dr. Jacob Monestersky, DO.
Provisional Patent Filed15+ patentable components including signal fusion, dynamic weighting engine, CELT, and cross-site continuity protocol.
Published Frameworks CRF: Continuity Risk Framework → COVE-F: Occupational Violence & Extraction → CMDS: Neuro-Trauma-Informed Escalation → DOI-registered. Used in legal, regulatory, and clinical contexts.
Working PrototypesLineMap demo-ready. Physical monitoring device operational. Both in active development.
Hospital COO AdvisoryAdam Willoughby, COO, Modoc Medical Center. VA revenue cycle background. Operational + financial strategy.
GPSI Chair RoleJennifer Torrez chairs Systems & Policy Committee, Global Patient Safety Initiative. International credibility.
All Published WorksView the complete library of peer-referenced clinical frameworks, analytic exemplars, and governance instruments. View all on Zenodo →
Built by People Who Were There
Jennifer Torrez, BSN, RN
Founder & CEO
20+ yrs healthcare. 10+ yrs critical care & rapid response. GPSI Chair. Published clinical frameworks. Founder, Pulse Advisory Group.
Damion Torrez
Co-Founder, Design & Systems
UI/UX, Academy of Art University. USAF veteran. 80,000+ hrs sleep study pattern recognition. Audit compliance record holder.
Garett Craig, BSN, MS BME
Dir. Clinical Systems Engineering
Dual BSN + Biomedical Engineering. Artificial Heart Engineer, UPMC. Brainlab neurosurgical navigation consultant.
James Mallory & David Gidwani
Solutions Architect & Infra Engineer
AWS / Terraform / Kubernetes. HIPAA-ready backbone. Defense-grade cybersecurity. Atomweight founder.
Dr. Jacob Monestersky, DO
Clinical Advisor
Board-certified Family Medicine (MSU COM). Pilot site committed. Physician-initiated partnership offer.
Adam Willoughby
Operational Advisor
COO, Modoc Medical Center. VA revenue cycle leadership. Operational + financial strategy.
The Numbers Behind the Mission
~1M Estimated actual annual U.S. FTR deaths (reported + unreported)
$118B Annual preventable harm cost to U.S. healthcare system
$14–15B Annual hospital cost avoidance at 3.5% adoption
30,000+ Lives saved annually at 3.5% U.S. adoption (conservative)
$1.5M Minimum Viable Raise · Equity
  • Founder & team compensation — full-time focus on build
  • Hardware development — additional prototypes + enclosures
  • Clinical AI infrastructure — API access, explainability layer
  • Outbound sales hire — hospital and sub-acute market entry
  • Pilot support — regulatory, technical, clinical documentation
  • Conference & marketing — targeted clinical and investor audience
The Infrastructure for This Has Finally Caught Up to the Need

Sensor miniaturization, edge AI, and cloud-scale HIPAA infrastructure have converged at the exact moment that healthcare systems are under maximum pressure to reduce preventable harm costs. PRISMqd is positioned at that intersection — with clinical credibility, working prototypes, and a committed pilot site.

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