Specialty
Infectious Diseases
Antimicrobial resistance is decided one prescription at a time. The restricted antibiotic approval that is meant to govern it is usually a telephone call to whoever is reachable, and the only trace it leaves is a dose that appeared on a chart.
An approval that leaves no record behind it was a conversation.
Impact and action
The approval.
- A restricted antibiotic is released by a phone call, and the reason it was released is reconstructed at the audit meeting from the drug chart.Approval runs as a repeatable procedure with a named owner at each step, a due time, and an overdue flag on a live board a manager watches.Cadence
- The stewardship team learns what was prescribed from a monthly pharmacy export.A rule the hospital defines fires when the pattern it names appears, and escalates up a chain when nobody acknowledges it.Sentinel
The culture.
- Sensitivities come back on paper and are matched to a patient by name and by ward.The analyser reports over a managed connection with a forensic trail behind every exchange, and the result lands on the order that requested it.WestronForge
The outbreak.
- Three cases on one ward become an outbreak when somebody notices they are three cases on one ward.Surveillance rules raise an owned alert, and the investigation, the committee that reviews it and the actions it produced are held as evidence rather than as minutes.SentinelVigil
Infection control
The evidence an assessor asks for is the work itself, kept.
Standing, rather than assembled.
Vigil watches what the hospital already does and turns it into evidence: incidents from report through investigation to resolution, committees and their action items, training and competency records, internal audits and self assessments, policy acknowledgements, risk registers and equipment maintenance schedules.
And the hospital, rather than the software, is what is certified.
Compliance is a property of how a hospital works and it is asserted by an assessor. What Pensieve holds is the record and the evidence a review asks to see.