Specialty
Pulmonology
India carries the largest tuberculosis burden in the world, so a hospital treating it is running a public health programme inside a clinical service: a notification, a contact list, a drug schedule measured in months, and a patient who has to be found again when they stop arriving.
A treatment that runs for six months is a scheduling problem wearing a clinical coat.
Impact and action
Notification.
- A notifiable diagnosis is reported by whoever remembers to report it, on a form kept in a drawer near the desk.Notification runs as a repeatable procedure with a due step and a named owner, and an overdue step stands on a live board a manager reads.Cadence
The drug schedule.
- Directly observed therapy is tracked on a card the patient carries and the hospital photocopies.Each dose is a task with a due time, marked given, missed or skipped, with the history kept against the patient rather than against the card.Quest
- A missed month is discovered at the next clinic visit, or after it.A missed dose is a state on the record, and the reminder goes out on a channel the patient agreed to, inside quiet hours, with a delivery log.SentinelRaven
The procedure, and the machine that reports it.
- Bronchoscopy and lung function orders are re-keyed onto the device, and the output stays on the device until somebody prints it.The order is placed once and travels to fulfilment, and the result returns over the same managed connection the analysers use, against the order that asked for it.ForgeWestron
The ward around it
An airborne diagnosis is an operational fact for the whole building.
Isolation is a bed decision.
Nexus holds the digital twin of the hospital: the wards, the rooms, the equipment and which of it is in use right now. A room designated for isolation is an object in that twin, so the decision to use it is scheduled rather than negotiated at the desk.
And the evidence stands as it is made.
Vigil turns the work the hospital already does into standing evidence: incidents and their investigations, committees and their action items, training records, internal audits and policy acknowledgements, assembled continuously rather than in the six weeks before an assessment.