Purpose
1. Deliver instant and ongoing patient status notifications to surgical teams before, during, and after procedures.
2. Automate the communication of vital changes in patient vitals, anesthesia dosing, surgical milestones, or emergencies.
3. Enhance transparency and reduce manual callouts, ensuring rapid, consistent alerts across multidisciplinary operating teams.
4. Integrate real-time EHR/surgical monitoring data into team communication channels to optimize patient safety and workflow efficiency.
Trigger Conditions
1. Electronic Health Record (EHR) status updates (e.g., surgery start, vital sign thresholds exceeded, completion, recovery milestones).
2. Manual updates from anesthesiologists or OR staff (e.g., critical events, med administration via mobile device or workstations).
3. Automated sensor or device data (e.g., drastic changes in heart rate, oxygen saturation, anesthesia depth).
4. Scheduled intervals for regular status check-ins or phase shifts in the procedure.
Platform Variants
1. Twilio SMS
- Feature/Setting: Messaging API; configure a webhook endpoint for EHR data to send SMS to on-call surgical members.
2. SendGrid
- Feature/Setting: Email API; automate EHR-to-email conversion with unique surgical case identifiers in the subject.
3. Slack
- Feature/Setting: Incoming Webhooks; push structured JSON messages to #surgery-teams channels for instant alerts.
4. Microsoft Teams
- Feature/Setting: Incoming Webhook Connector; post adaptive cards summarizing status in team channels.
5. PagerDuty
- Feature/Setting: Events API V2; trigger incident alerts to OR responders’ pagers/mobiles on surgical escalation events.
6. Cisco Webex
- Feature/Setting: Webex Bots API; send real-time bot notifications with patient status directly to surgical spaces.
7. WhatsApp Business API
- Feature/Setting: Template Messages; auto-send pre-approved patient status templates to surgeons’ phones.
8. Google Chat
- Feature/Setting: Incoming Webhooks; deliver formatted card messages for patient phase changes.
9. ServiceNow
- Feature/Setting: Workflow Integration; create, update, and track surgical cases with real-time changes.
10. Salesforce Health Cloud
- Feature/Setting: Platform Events; automate patient record changes to trigger real-time notifications to care teams.
11. Zoom
- Feature/Setting: Chatbot Integration API; send automated updates to meeting participants or care team chats.
12. Facebook Messenger API
- Feature/Setting: Send API; deliver secure, private messages to clinical directors via bots.
13. Health Level 7 (HL7) FHIR Servers
- Feature/Setting: Subscription API; configure triggers for status update resources to push to subscriber endpoints.
14. Doximity
- Feature/Setting: Clinical Communications API; automate physician call/message routing based on update severity.
15. TigerConnect
- Feature/Setting: Messaging API; auto-dispatch status alerts to secure hospital chat groups.
16. Vocera Communications
- Feature/Setting: Secure Messaging; push surgical event notifications to wearable badges.
17. Meditech Expanse
- Feature/Setting: EHR Event Subscriptions; trigger outbound notifications on phase transitions.
18. Epic Systems (Hyperspace)
- Feature/Setting: App Orchard Webhooks; stream intra-procedural data to external alert systems.
19. Cerner Millennium
- Feature/Setting: PowerChart Notifications; auto-send status changes using HL7 integration.
20. Azure Event Grid
- Feature/Setting: Event Subscription; propagate critical event messages to downstream systems.
21. AWS SNS (Simple Notification Service)
- Feature/Setting: Publish/Subscribe; multicast patient events via SMS, email, or HTTP endpoints.
22. SAP Health Engagement
- Feature/Setting: REST API; push patient journey milestones to hospital operations dashboards.
23. Google Pub/Sub
- Feature/Setting: Topic Publish; relay JSON event payloads to subscribing systems/apps in real time.
24. IBM Watson Health
- Feature/Setting: Event Notification Service; route AI-analyzed patient risk alerts to surgical staff.
Benefits
1. Eliminates manual effort in disseminating time-sensitive surgical status updates.
2. Ensures consistent, error-free information delivery to all stakeholders simultaneously.
3. Reduces communication lags, enhancing patient safety and operating room team coordination.
4. Scales across hospital departments and integrates flexibly with legacy and modern clinical IT.
5. Provides audit trails and actionable analytics for process improvement and compliance.