Specialty
Neonatology / NICU
A newborn arrives with no name, no identity number and no file, and is carried for days as an entry on the mother’s. Meanwhile the ventilator, the incubator and the infusion pumps each hold a number that reaches the record only when the nurse at the cot copies it out by hand.
Impact and action
The baby has no identity of their own
- A newborn is admitted as an addendum to the mother: one file, one bill, one identity, and a discharge summary that cannot say which of the two an entry belongs to.Gate opens the newborn as a patient at delivery and Atlas links that record to the mother, so consent, orders and charges resolve to the right person from the first hour.GateAtlas
The machines keep their own numbers
- Ventilator settings, incubator temperature and pump rates are read off a screen and written onto a flowsheet once an hour, by the person least able to leave the cot.The orophin bridge carries monitor, ventilator and pump output into the record over one outbound connection, and Westron holds the connection, the translation and the trail of every exchange.WestronAtlas
Feeds, phototherapy and weight-based doses run on memory
- Two-hourly feeds, phototherapy blocks, drug levels and doses recalculated against this morning’s weight are tracked on a board that is rewritten at every shift change.Quest turns each ordered dose and each scheduled step into a task with a due time, lands it on the roster of whoever is actually on shift, and records it as given, missed or skipped.QuestForge
Deterioration is caught by whoever happens to be looking
- A falling saturation, a rising bilirubin and a missed feed are three observations held by three people, and none of the three is an alarm.Sentinel runs the rule the unit itself wrote, escalates an unacknowledged alert up a named chain over time, and hands delivery to Raven on the channel the recipient answers.SentinelRaven
A long stay becomes a long claim
- Weeks of intensive care, high-value consumables and daily investigations reach the insurer or the scheme as a bundle assembled from paper on the day of discharge.Vault raises the charge as each order is fulfilled and packages the claim from the same objects the clinical record was built from, on the payer’s own tariff.Vault
The cot, the machine, the feed and the bill are one record, held for a patient who does not yet have a name.