If BusyWait is behind, your calendars are behind with it. Something booked straight into one calendar in that gap can clash with something booked in another, and BusyWait cannot un-book it. Blocks it has already written are ordinary events, so a stale one can sit in your diary until the next sync clears it.
When someone confirms, the slot is checked again against the calendars selected for that link. Something added to a calendar moments earlier may not have reached BusyWait yet, so a clash is unlikely, not impossible.
How the service itself is secured is set out in the Security Policy.