System for Electronic Notification and Documentation

SEND is the evidence-based, digital charting system for vital-signs observations in hospital and for the automatic calculation of Early Warning Scores (EWS).

SEND enables digital charting for vital-sign observations in hospital and the automatic calculation of Early Warning Scores to inform clinical decision making. The system has enhanced the clinical care of 167,000 patients to date in all the adult wards throughout the Oxford University Hospitals NHS Foundation Trust and has already generated more than 33 million observations since January 2015.

The need for safe remote monitoring during the COVID-19 epidemic

As the need for remote health monitoring intensifies during the COVID-19 epidemic, Sensyne Health are developing and deploying products that enable patient groups to record their health information and be safely managed at home, clinicians to deliver continued contact and care, and healthcare organisations such as the NHS to reduce pressure on their resources.

Data generated from these products contributes to medical research aimed at predicting, diagnosing, treating and preventing a variety of conditions including COVID-19 infection.

Benefits

Invented in the NHS

Invented in the NHS for the NHS, as a direct response to a clinical need.Designed by clinicians to be faster than pen and paper.

Patient Visibility

At-a-glance information so clinician scan prioritise care to patients most in need. Digital charting enables remote access/monitoring.

Evidence-based

An evidence-based, human factors approach has ensured clinician adoption in the NHS.

Real-time Tracking

Real-time tracking information on observation timeliness and completion, available in PDF format.

Increased Patient Safety

Positive Patient ID via wristband barcodes linked to clinician ID and patient record.

Supports Governance

Electronic capture of data enables detailed auditing of care and outcomes while supporting clinical governance.

Tablet computers are used for data entry and mounted on the same stands as the physiological monitors used to measure patient vital signs. This extensively researched design is intended to minimise barriers to timely data entry and facilitate viewing of current and historical observations at the point of care whilst unshackling a clinician from a hand-held device to be able to give care. A clinician’s ‘at-a-glance’ dashboard can be accessed remotely and from the nurses station, to facilitate team-based working and enable clinicians to monitor and prioritise care to patients most in need.

SEND is classified as a Medical Device and is registered as such with the UK National Competent Authority (MHRA).

Designed by clinicians

Vital sign observations are recorded and displayed in real-time on a digital version of a standard chart. This means that clinical users can view trends as they are recording a new set of observations, just like they are used to.

Seeing the context lets nurses exercise their clinical judgement to spot when a supposedly normal vital sign is actually an early marker of deterioration.