The Patient List problem is felt by every junior doctor in the NHS, but it was formally raised by Wai Keong Wong in a blog post titled "Give every doctor an extra 30mins/day with patients by solving the ‘Patient List’ problem". In summary, a system is needed to save junior doctors from error-prone manual daily work compiling lists of patients and their treatments for their daily rounds. Furthermore, the system should include task lists for each patient and a way to manage transfer of tasks between shifts and departments so that nothing gets forgotten during handover.
Tactix4 proposed a solution using HL7 data to populate a database. A dummy data set of patients, admissions, wards and consultants was reused from an open source project Wardware. NewContext and ValueDecision teamed up with Dr Colin Brown at the Hack Day to develop a solution. The system created at the Hack Day has the following features.
- Complete list of patient details available on demand
- Lists can be filtered by ward
- Patients can be marked as high, medium and low risk
- To Do items can be assigned to a patient
- To Do items can be marked as pending and then completed
- A full history of To Do items is available for each patient
- A real-time view on actions for patients and their state for any clinician
We are working on the following features needed to get the system ready to roll out
- Add user logins and create an audit trail in the To Do lists
- Allow users to create new lists for handover purposes
- Provide ways for To Do data to be fed back to EPR
Technically, the solution is made up of 2 components:
- The Wardware Data Platform - MySQL database + HL7 extracts
- The Patient List application - written in Ruby On Rails
One of the major benefits of the project is that it creates an Open Data enabled platform that can be used to build a variety of clinical applications. Patient List and Wardware are examples of what is possible. In addition to the Patient List features above, we are also working to package the whole system into a pre-packed VM released under an open source licence so hospitals can install it with minimum effort.
Here are some links related to the project:
http://patientlist.newcontext.co.uk/ - working solution using dummy data
http://blog.openhealthcare.org.uk/?p=66 Give every doctor an extra 30mins/day with patients by solving the ‘Patient List’ problem