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

降低医疗质量的差异和以具有成本效益的方式改善工作人员工作流程仍然是国家医疗服务体系(NHS)面临的重大挑战。卫生政策制定者和临床医生越来越一致地认为，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一种这样的数字技术的部署和NHS信托范围的影响。Streams是一款医疗保健行业专用、安全、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，并在正确的时间在正确的临床医生自己的智能手机上向他们提供正确的临床信息。我们的项目旨在证明，当这个移动应用程序与广泛的利益相关者参与一起交付时，能够改进当前的患者安全标准和组织工作流程(在个人和医院层面上)，并证明在NHS信托范围的层面上是一项具有成本效益的项目。为了做到这一点，我们打算通过评估应用程序的可接受性、可用性和部署障碍来评估STREAMS应用程序在多站点NHS信托基金中的部署，并分析应用程序对患者安全的可测量标记的影响。

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.