ISCF HDRUK DIH Sprint Exemplar: Enhancing Clinical Responses through Digital Information Transfer and Alerting by a Hospital-wide Smartphone Application

以具有成本效益的方式减少医疗质量的变化并改善工作人员的工作流程仍然是国家卫生服务（NHS）面临的重大挑战。卫生政策制定者和临床医生越来越多地达成共识，即以数字为中心的技术可以为这些挑战提供可扩展的解决方案。我们的研究旨在评估此类数字技术的部署和NHS信托范围内的影响。“Streams”是一款医疗保健行业特定的、安全的、以用户体验为中心的智能手机应用程序，旨在进行临床工作流程管理，并在正确的时间将正确的临床信息传递给正确的临床医生。我们的项目旨在证明，这种移动的应用程序，当与广泛的利益相关者参与一起交付时，能够提高患者安全和组织工作流程的当前标准（在个人和医院层面），并证明是NHS信托范围内的成本效益企业。我们打算通过评估Streams应用程序的可接受性、可用性和部署障碍，以及分析应用程序对患者安全性可测量标志物的影响，在多站点NHS Trust中评估Streams应用程序的部署。

Reducing the variation in healthcare quality and improving staff workflows in a cost-effective manner remains a significant state-wide challenge for the National Health Service (NHS). There is a growing consensus, amongst both health policymakers and clinicians, that digital centric technologies can deliver scalable solutions to these challenges.Our research aims to evaluate the deployment and NHS Trust-wide effect of one such digital technology. ‘Streams’ is a healthcare industry specific, secure, user experience centred smartphone application, which is designed for clinical workflow management and the delivery of the correct clinical information to the correct clinician at the correct time, on their own smartphones. Our project aims to demonstrate that this mobile application, when delivered in conjunction with extensive stakeholder engagement, is able to able to improve upon current standards of patient safety and organisational work flow (on both an individual and hospital level) as well as proving to be a cost-effective venture at an NHS Trust-wide level. We intend to do this by evaluating the deployment of the Streams application across a multi-site NHS Trust through assessing the acceptability, usability and barriers to deployment of the application, in addition to analysing the effects of the application upon measurable markers of patient safety.