Work·Internal Tools·Capability showcase

Hospital patient-flow system

A real-time board that shows where every patient is in the hospital journey — admission, ward, theatre, discharge — so nurses chase status, not paperwork.

The Problem

Most mid-size hospitals run patient flow on a physical whiteboard and a WhatsApp group. A bed gets allocated twice, a discharge waits hours for a signature, a surgery starts late because nobody knew the ward was full.

The Approach
  1. 01

    Built a real-time board surfacing every patient's current state and the next required action, updated by the people doing the work — not entered later.

  2. 02

    Designed five role-specific views: admissions, charge nurse, theatre, pharmacy, discharge lounge. Each one only shows what that role can act on.

  3. 03

    Integrated with HL7 / FHIR feeds where available so existing HIS data flows in automatically.

  4. 04

    Implemented escalation timers — a discharge waiting more than 90 minutes for a pharmacy review goes red on the pharmacy board.

  5. 05

    Designed for tablets at the nursing station and phones at the bedside, with a permission model that satisfies clinical governance.

Hospitals don't lack data. They lack a board that anyone can act from. That's the system we build.

The Outcome
  • Bed turnaround time falls.

  • Discharges happen before 11 AM instead of 4 PM.

  • Theatre delays caused by ward congestion drop sharply.

  • Clinical management gets the daily numbers without a manual report.

Hours earlier
Discharge time-of-day
Sharply down
Theatre delays from ward congestion
Removed
Manual data entry
Per-patient, automatic
Audit trail
Stack
Next.jsNode.jsPostgreSQLHL7 / FHIRWebSockets

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