21 lines
1.9 KiB
Plaintext
21 lines
1.9 KiB
Plaintext
Thanks again for the feedback you gave me a few weeks ago. I took your comments seriously, especially around composite scoring versus evaluating vitals individually.
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Since then, I've expanded the system quite a bit:
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• Implemented NEWS2 scoring using respiratory rate, oxygen saturation, systolic blood pressure, heart rate, consciousness level (AVPU), temperature, and supplemental oxygen use. The system now generates risk-based alerts from a composite score rather than relying only on individual threshold breaches.
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• Added qSOFA scoring alongside the existing SIRS-based sepsis detection. Both systems now run independently and can trigger sepsis-related alerts.
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• Expanded the observation model to include systolic BP, diastolic BP, AVPU, supplemental oxygen, lactate, and glucose, which were missing previously.
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• Added trend detection so the system can identify rapid deterioration even when a patient hasn't crossed a critical threshold yet.
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• Added alert suppression windows to reduce alert fatigue. Warning-level alerts can be temporarily suppressed after acknowledgment, while critical alerts are never suppressed.
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• Added clinical orders and automated sepsis bundle tracking. When a sepsis-related alert fires, the system automatically creates a sepsis bundle and tracks completion of blood cultures, lactate measurement, antibiotics, and IV fluids against a one-hour compliance target.
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The project has evolved from a threshold-based monitoring system into more of a clinical surveillance and early warning platform.
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My next planned step is building a patient simulator and virtual ward dashboard so clinicians can interact with the system and evaluate it in realistic scenarios rather than just reviewing the backend design.
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I'd be interested in hearing whether these changes move the system closer to how a real early warning platform should behave and what you think would still be missing. |