If you register for the first time, you will create an organisation. This is a place where teams can be grouped together.
As an organisational administrator, you will have oversight of all the teams, users and patients that are part of that organisation.
Teams are where clinicians collaborate to care for their patients.
If you have created a team, you will be able to invite and remove clinical colleagues as they join and leave your team. You will also be able make other members of the team co-administrators so that they too can add and remove team members.
As a team member, whether an administrators or not, you will be able to add and discharge patients, add actions, update the clinical history. You will also be able to accept responsibility for patients and then, at the end of your work, handover those patients to other users. The system will provide a full audit trail of all the activities on every patient.
For each patient, you and your team will maintain a list of actions. These actions are the patient's clinical plan.
You can assign an action to yourself or to another user. This creates an individual action list for you and each of your colleagues. You can complete actions, make notes about them or reassign them to other users.
When you then handover your patient, your actions are transferred, along with responsibility, to the receiving clinician.
The system maintains a log of everything that happens not only to each patient but also to each user.
Your activities will create a time-line of data, suitably time-stamped, and logged to show what has happened in real time. This provides an a complete history of a patient's journey as an invaluable tool for both clinical audit and management data.
Everyone with access to the patient can see their history in full and search or filter the information to find what they need.
When you accept responsibility for a patient, this patient is placed on your own list of ‘My patients’. This allows you easily to see and manage the patients who are directly under your care.
At the end of your shift, you can handover your patients to another clinician. When they accept, they automatically acquire your patients and your list of actions.
Handover is a recognised source of error in healthcare. Careful minimises the risk by ensuring that the clinical plan is passed seamlessly between clinicians. The baton is never dropped.
Each patient is assigned a status — such as ‘Arrived’, ‘Clerked’. ‘Post-op’ — which represents a stage in their clinical journey. Any user can change the status and the time of each change will be recorded.
This very simple mechanism allows any user to see how a patient’s care has progressed. It also ensures that clinical leaders can see the state of an entire team or organisation — identifying where pressure points may be developing, or, for instance, which patients may be fit for discharge.
Each patient can be assigned a physical location (e.g. Bed 3, Ward 2). No more safari ward rounds!
(Coming soon)
We are working towards linking the patient’s diagnoses, and actions to SNOMED-CT codes. This will allow teams to provide direct coding from the bedside, using the Careful System. If you have a particular interest in this, we would be interested in hearing from you: please email clinical.coding@careful.online
(Coming soon)
We are also working towards ‘action bundles’ that will allow team managers to standardise the actions for patients in particular locations or with particular clinical conditions. If you have a particular interest in this, we would be interested in hearing from you: please email pathways@careful.online
