Unlocking the value of Patient Reported Outcome Measures (PROMs) for empowering post-discharge patient care and reducing admissions, by linking directly to clinical task management.

患者报告的结果衡量标准(PROM)有可能增强患者的能力并让他们参与护理，特别是在出院后的几天到几周内。医院护理会让人们感到迷失方向，不确定他们在住院期间可能得到的建议。让患者测量一系列症状可能是一种很有帮助的方式，可以让患者对自己的康复更有信心，也可以作为病情恶化的早期警告。不幸的是，现有的胎膜早破解决方案难以获得理解，因为它们经常无意中为临床医生(他们必须审查这些措施)创造了更多的工作，或者对患者几乎没有价值(因为这些措施不能被审查和采取行动)。我们的解决方案是由临床任务驱动胎膜早破。通过取代临床医生花费时间采取的措施(例如新生儿的喂养模式)，我们不仅可以使患者自信地相信，在本例中，他们的新生儿喂养良好，而且我们还将减轻临床医生的负担。由NHS助产士和NHS初级医生共同创建的临床任务系统有限公司(CTS)正在开发LISTER任务管理平台，因此通过将PROMS与底层临床任务链接起来，该公司在开发拟议的PROMS系统方面具有独特的地位。只有这样的综合方法才有希望释放PROMS在支持出院后护理和减少再次住院方面的价值。在这个特定的项目中，我们的目标是建立我们提议的方法的可行性。我们通过关注产后出院的母亲和婴儿来做到这一点--这段时间无疑非常令人困惑和具有挑战性。在这种特定情况下证明可行性和价值将使我们能够开始构建一个更具活力的PROMS系统，该系统将利用人工智能，根据他们的临床团队试图完成的基本任务，为合适的患者生成合适的PROMS。我们的解决方案将使更多的协作和以患者为中心的护理蓬勃发展。

Patient-reported outcome measures (PROMs) have the potential to empower and engage patients with their care, particularly in the days-to-weeks following discharge from hospital. Hospital care can leave people feeling disoriented and unsure of the advice they may have been given during their hospital stay. Tasking patients with measuring a set of symptoms can be a helpful way to empower patients with more confidence in their recovery, or can act as an early warning to deterioration.Unfortunately, existing PROM solutions struggle to gain uptake as they often inadvertently either create more work for clinicians (who have to review these measures), or little value for patients (as measures cannot be reviewed and acted on).Our solution is for PROMs to be driven by clinical tasks. By replacing measures that clinicians are spending time taking (such as the feeding patterns of a newborn), not only could we empower patients with confidence that, in this example, their newborn is feeding well, but we would also be reducing the burden on clinicians.Clinical Task Systems Ltd (CTS), founded together by an NHS midwife and an NHS junior doctor are developing the Lister task management platform and are therefore uniquely placed to develop the proposed PROMs system by linking PROMs to and from underlying clinical tasks. Only such an integrated approach has hope for unlocking the value of PROMs for supporting post-discharge care and reducing readmissions to hospital.In this particular project, we aim to establish the feasibility of our proposed approach. We do this by focusing on mothers and babies discharged after giving birth - a time which is undoubtedly very disorienting and challenging. Proving feasibility and value in this specific instance will enable us to start building a far more dynamic PROMs system, which will leverage artificial intelligence to generate the right PROMs for the right patients, based on the underlying tasks that their clinical team are trying to accomplish.Our solution will enable more collaborative and patient-centred care to flourish.