Introduction
CAREFUL is a clinical care coordination platform that helps healthcare teams manage patient care across multiple organisations. It provides a unified system for patient handovers, task management, team collaboration, and patient flow tracking -- all with complete audit trails for compliance and safety.
What CAREFUL Does
CAREFUL is designed to solve critical healthcare coordination challenges by providing four primary benefits:
1. Reduced Staff Time Spent on Task Management
CAREFUL consolidates all clinical and administrative tasks into a single platform. The My Actions view shows all your assigned actions in one place, with overdue action notifications displayed as badges. You can quickly reassign tasks when priorities change, add progress notes, attach documents, and complete actions with a single click -- eliminating the need to juggle multiple systems or paper-based task lists.
2. Fewer Errors on Handover
Patient handovers are structured workflows that require explicit acceptance, ensuring nothing falls through the cracks during shift changes. Every handover includes a complete audit trail showing exactly when responsibility transferred and to whom. The platform prevents handovers to staff who are off duty and automatically transfers all open actions to the receiving clinician, maintaining continuity of care and reducing the risk of missed tasks or lost information.
3. More Rapid Discharge Planning
CAREFUL provides clear visibility of patients across all teams in your organisation. You can assign discharge-related actions to specific team members, refer patients to specialist teams for input, and access complete clinical notes and patient histories. When team chat is enabled, you can collaborate in real-time with colleagues. All patient movements and activities are logged, making discharge coordination more efficient and reducing delays.
4. Improved Patient Flow
The platform tracks patient location in real-time (ward, bed, room) and shows clear responsibility assignment so everyone knows which clinician owns each patient's care. The referral system enables smooth transfers between teams for specialist input or permanent moves. Administrators have organisation-wide patient views, and high-risk patients can be flagged for additional attention. Complete audit logging captures all patient movements and team changes, improving accountability and patient safety.
Core Features
Patient Management
- Centralised patient records with demographics, location, and clinical summaries
- Responsibility assignment showing the primary clinician for each patient
- Risk flagging for high-risk patients requiring special attention
- Discharge and readmission workflows
- Customisable patient statuses to track care stages
- Organisation-specific fields for recording patient data
Care Coordination
Handovers transfer individual patient responsibility and all associated actions from one clinician to another. Use handovers for shift changes, going off duty, or transferring care to a colleague. Each handover requires explicit acceptance, creating a clear audit trail. You can handover individual patients, all patients in a specific team, or all your patients across multiple teams.
Referrals are team-to-team requests for shared care, specialist consultation, or permanent patient transfers. Unlike handovers, referrals don't automatically transfer individual actions -- you'll need a separate handover for that. Referrals follow a two-step workflow (send and accept) and can optionally include immediate transfers for internal team moves.
Responsibility Management ensures every active patient has at least one responsible user and team. You can take responsibility by accepting a handover, accepting a referral, adding a patient to your team, or explicitly taking responsibility for a patient. The My Patients view shows all patients where you're responsible.
Task Management (Actions)
Actions are patient-specific tasks assigned to individual users. Each action includes a title, assignee, optional due date, description, attachments, and progress notes. Actions are marked as open or closed, with overdue and due-soon indicators. For audit purposes, you cannot edit the original action details, but you can add progress notes, reassign the action, or mark it complete. When you hand over a patient with their actions, all their open actions automatically transfer to the receiving clinician.
Team Collaboration
Teams represent clinical units (e.g., "Emergency Department", "Acute Medical Unit"). Each team has its own patient list, action views, and member roster. Team owners can manage members, configure handover categories, and update team settings. When enabled by your organisation, teams can use real-time chat for instant collaboration. Patients are only visible to members of their responsible teams, maintaining confidentiality.
Audit and Compliance
CAREFUL maintains complete, immutable audit logs at patient, team, and organisation levels. Every action, handover, referral, demographic change, and clinical note is permanently recorded with timestamps and user attribution. Administrators and team owners can review activity logs to ensure compliance with data protection regulations and clinical governance requirements.
Key Concepts
| Concept | Meaning |
|---|---|
| Action | A patient-specific task assigned to a user with a due date and progress tracking |
| Handover | Transfer of patient responsibility and all open actions to another clinician |
| Referral | Team-to-team request for shared care, consultation, or patient transfer |
| Responsibility | Status showing which users and teams are actively caring for a patient |
| Risk Flag | Marking for high-risk patients requiring special attention |
| Discharge | Complete removal of a patient from team care |
| On-Duty/Off-Duty | Status controlling whether you receive notifications and handover requests |
Design Principles
CAREFUL is built on four foundational principles:
Confidentiality: No patient data is visible to unauthorised users. Team-based access control ensures you only see patients for whom you or your teams are responsible.
Security: Strong password requirements, encrypted data storage and transmission, session timeouts, and rate limiting protect against unauthorised access.
Ease-of-Use: Intuitive navigation, guided workflow dialogs, consistent UI patterns, and responsive design make CAREFUL accessible on desktop, tablet, and mobile devices.
Interoperability: CAREFUL integrates with existing hospital systems through secure APIs, HL7 messaging, and healthcare data exchange standards.
Who CAREFUL Is For
- Clinical Staff: Nurses, doctors, and allied health professionals managing patient caseloads
- Team Owners: Clinical leads managing specific teams with oversight of team patients and members
- Administrators: Organisation-level users with access to all patients, actions, staff, and reporting