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Specialty

Endocrinology

An endocrine record is a long argument with a moving number. The insulin dose that is right this week is decided from readings taken at home, on a machine the hospital never sees, written on the back of an old prescription.

Titration is a schedule, and a schedule can be run.

The clinic decides a dose. The patient carries it for six weeks. Somewhere in those six weeks the readings drift, and the drift is visible only to whoever is holding the meter.

Move past the dose adjusted at a visit and then remembered until the next one. Quest turns each ordered dose into a task with a due time and keeps whether it was given, and Sentinel raises the reading that has left the range the hospital itself set.

Impact and action

The reading that decides.

  • Glucose values are read aloud at the desk from a notebook and copied into a consultation note.The reading is captured on a form the department built, with its own validation, and a threshold on that form raises an alert with an owner and an escalation chain.GlyphSentinel

The dose.

  • Titration is arithmetic done at the desk against a printed chart in a drawer.Each ordered dose becomes a scheduled task with a due time, marked given, missed or skipped, on the list of whoever is on shift.Quest

The screening nobody books.

  • Foot and retinal screening are advised out loud and happen when the patient thinks of them.Screening stands as a due task with an owner and a date, and the reminder goes out on a consented channel with a delivery log behind it.QuestRaven
  • HbA1c and lipids are compared against whatever report the family brought with them.Trends are read out of the record itself, and every figure on the screen names the record it came from.Falcon
Tablets and capsules spilling from an opened bottle.
The prescription is the easy half. What was actually taken is the half that decides the next one.

Between visits

Most of this disease happens where the hospital cannot see it.

The channel belongs to the patient.

Raven sends on the channel a person actually uses, respects their consent and their quiet hours, works from hospital-approved wording rather than free text, and keeps a delivery log showing sent, delivered, failed and read.

Raven

The clinic builds what it needs.

Durin is a drag-and-drop builder, so a department composes the view or the small application a vendor never shipped, with no code and no ticket, on the same permissions and the same audit trail as everything else.

Durin

Powerful. Responsible. Pensieve.

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