Table 1 An overview of watchers with their description, specialty, frequency, and complexity currently deployed by the CogStack team at KCH
Watcher name | Description | Complexity | Specialty | Watcher type | Frequency |
|---|---|---|---|---|---|
ADAMTS13 tracker | Returns all ADAMTS13 test results and mentions in any EPR document for patients aged 16 to 50 years old | Low | Haematology | Audit | Weekly |
Barrett’s oesophagus watcher | Returns all inpatients who had an OGD endoscopy report in the last week with mentions of Barrett’s oesophagus or gastric intestinal metaplasia from 2 specific wards | Low | Gastroenterology | Audit | Weekly |
Cardiac MRI/Scleroderma watcher | Returns all cardiac MRI scan reports of patients who are known cases of scleroderma | Low | Cardiology | Audit | Weekly |
COVID watcher | Returns all patients with a positive COVID PCR test result | Low | Respiratory | Audit | Daily |
Diabetes Insipidus watcher | Returns all adult inpatients with mentions of diabetes insipidus in clinical note entries in the last 3 days and any desmopressin prescriptions. This cohort is filtered to only return those who have a high blood sodium level | Medium | Endocrinology | Research pilot | Daily |
Inhaler technique auditor | Returns all inpatient inhaler orders across KCH | Low | Respiratory | Audit | Daily |
IV Heparin infusion order tracker | Returns all inpatient IV heparin orders from several specified wards | Low | Haematology | Service improvement | Daily |
Monkeypox watcher | Returns all patients with a positive monkeypox PCR test or mention in their EPR documents | Low | Virology | Audit | Daily |
MRI enterogram tracker | Returns all MRI enterogram reports in the last week, along with patient demographics | Low | Gastroenterology | Audit | Weekly |
Myocarditis admission/death tracker | Identifies all current myocarditis clinic attendees and from that cohort, returns those who have been discharged in the last week. It also identifies newly-published death certificates with mentions of myocarditis as the cause in the last week | Medium | Cardiology | Service improvement | Weekly |
NICOR heart failure, myocardial infarction and myocarditis watcher | Retrieves demographics, admission data, clinical notes, comorbidities, imaging reports and specialist referrals, along with drug orders, blood test results and observations on admission and discharge for heart failure, myocardial infarction and myocarditis watcher | High | Cardiology | Research | Weekly |
Out-of-hospital cardiac arrest tracker | Identifies all patients with a mention of out-of-hospital cardiac arrest in the last week | Medium | Cardiology | Research pilot | Weekly |
Penicillin delabeller | Identifies current inpatients who are allergic to penicillin or other antibiotics, retrieves their admission data and identifiers and merges it into one spreadsheet. The pharmacist uses this list to visit the patient in-person and discuss potential of penicillin allergy delabelling | High | Microbiology | Research pilot | Daily |
Pre-renal transplant checker | Returns all pre-renal transplant assessments in the last week, along with patient demographics | Low | Nephrology | Audit | Weekly |
Rheumatology-MTX tracker | Identifies current Rheumatology clinic attendees and from that cohort, returns those who have passed away in the last 24 h or have abnormal liver enzymes and are currently on Methotrexate | High | Rheumatology | Service improvement | Daily |
Sickle cell crisis watcher | Identifies all adult sickle cell inpatients who had a crisis mention (and crisis type) in the last week | Medium | Haematology | Service improvement | Weekly |
VTE risk assessment in ED post take watcher | Identifies all emergency patients who had a VTE assessment containing the “High risk of VTE, low risk of bleeding” result | Low | Haematology | Service improvement | Daily |
Warfarin order tracker | Returns all inpatient warfarin orders across KCH | Low | Haematology | Service improvement | Daily |