Commentary|Videos|February 20, 2026

Safety under pressure: When late mornings become a danger zone

Fact checked by: Keith A. Reynolds

Andrea Greco breaks down why duress alerts spike 300% between 8:30 a.m. and 12:15 p.m.

CENTEGIX data show a 300% surge in duress alerts between 8:30 a.m. and 12:15 p.m.

Andrea Greco, senior vice president of healthcare sales at CENTEGIX, walks through what’s happening inside facilities during that window, and why it matters for safety planning.

Morning rounds, visitors arriving, discharge decisions, lunch, and shift changes all collide in a few intense hours. Workflows speed up, expectations shift and emotions around “staying or going” from the hospital run high. Greco notes that those disruptions and transitions can easily trigger aggressive behavior from patients, families or visitors.

Her takeaway for practice and hospital leaders: recognize late morning as a high-risk period, and build staffing, training and escalation protocols around that reality — not the assumption that risk is spread evenly throughout the day.