Inspiration: Paperless Nurse Observations and Early Warning Score System

Inspiration: Paperless Nurse Observations and Early Warning Score System

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Organisation: Kingston Hospital NHS Foundation Trust


This project has been funded from the Nursing Technology Fund.

The solution will provide an alert mechanism for medical and critical care teams to respond to alerts regarding deteriorating patients allowing for swift intervention and treatment.

Brief Summary

Currently vital signs are recorded on paper and the observations are transcribed onto a chart to manually calculate the Early Warning Score (EWS). Nursing staff are required to raise an alert based on vital signs being outside the normal range. This scheme enables nurses and midwives at Kingston Hospital to take and record patient’s vital signs observations at the patient’s bedside and in real time.

Primary Focus: Digitally enabled obs

Funds awarded: £837K

Background on the Nursing Technology Fund
In October 2012 the Prime Minister announced the establishment of a Nursing Technology Fund to support nurses, midwives and health visitors to make better use of digital technology in all care settings, in order to deliver safer, more effective and more efficient care.
The funding was to be allocated to providers following an application and evaluation process. The first round, for £30M, and the second round for £35M of capital funding has been awarded.

Second round outcomes
276 applications were received, and 62 organisations have been awarded funding totalling almost £35M. The successful applicants include 7 voluntary / community / social enterprises. The highest individual award was £1M. A list of successful applications is available to download. There may be an opportunity to fund a small number of further applications in FY15/16.

The funded projects represent the full range of geographies and care settings, and beneficiaries include nurses, midwives, health visitors and healthcare assistants. The range of projects covers the following technology-enabled capabilities (in order of popularity):

  • Digitally-enabled observations management
  • Mobile access to digital care records across the community
  • Digital capture of clinical data at point-of-care
  • Safer clinical interventions
  • Real-time digital nursing dashboards
  • Smart workforce deployment
  • Remote face-to-face interaction
  • Digital images for nursing care

Area of work

In relation to the four foundations of our declaration, this project aims to:

  • Happy staff with the right skills
  • Make London healthier and happier

Links for more information

Nursing Technology Fund

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