22 lines
1.8 KiB
Plaintext
22 lines
1.8 KiB
Plaintext
I'm building a clinical monitoring and alerting system and wanted your opinion as a physician.
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The system creates a patient encounter when a patient is admitted. Vitals and lab results are continuously recorded against that encounter from monitors, nursing observations, and laboratory systems.
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Each observation is evaluated against configurable clinical thresholds. Critical abnormalities generate immediate alerts. The system also evaluates SIRS criteria (temperature, heart rate, respiratory rate, and WBC count) over a rolling time window to identify possible early sepsis and generate warning alerts.
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Alerts have a lifecycle: open, acknowledged, resolved, or escalated. If a critical alert is not acknowledged within a defined period, it is automatically escalated to an on-call backup clinician.
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The system maintains a complete timeline of observations, alerts, and clinical events, provides trend analysis and population-level reporting, and performs safety checks such as identifying patients with no recent observations or critical alerts that remain unaddressed.
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I'm trying to understand whether this would provide meaningful clinical value in a real hospital environment.
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From your perspective:
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Would this improve patient care or clinical outcomes?
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Which features would be genuinely useful versus "nice to have"?
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Would the sepsis detection approach be clinically meaningful or create excessive false alarms?
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What clinical deterioration indicators would you want monitored that aren't included here?
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How would this compare to the monitoring and alerting systems you currently use?
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What would prevent physicians from trusting or adopting a system like this?
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I'm less interested in whether the technology is impressive and more interested in whether it solves a real clinical problem. |