Smart-ER is a software-based tool designed to improve the performance of urgent and emergency care services in NHS Trusts. It allows patients attending Emergency Departments (ED) or minor injuries units to provide information while waiting to see a clinician.
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Developed by clinicians at Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Smart-ER enables patients to provide health information whilst waiting to see a clinician. This information would normally be logged by clinicians in initial consultations, so already having the data provides more patient discussion time. The system provides a robust record, automatically links to an electronic patient record and assists with meeting the four-hour A&E target.
Amjid Mohammed of Healthcare Engineering that created Smart-ER said: “ The Yorkshire & Humber AHSN has been fundamental to the progress we have made. They have provided support, advice and guidance from the very start and we would not be where we are today without this.
“The entire team is helpful and accommodating and it has been a delight to work with them."
How did the Innovation Exchange help?
Smart-ER has had support for a feasibility study in Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust’s Minor Injuries Unit. The study highlighted usability and acceptance from clinicians and patients and provided evidence for implementation in the Trust’s Emergency Department. The AHSN funded a real-world evaluation of Smart-ER with York Health Economic Consortium using data from the implementation. Smart-ER is also benefitting from support through the AHSN’s Digital Accelerator, Propel@YH.
Impact & Outcomes
Real-world evaluation of Smart-ER indicates the system reduces the total cost of contact by a third and the length of time between attendance and discharge, contributing towards meeting the four- hour A&E target. The evaluation has provided Smart-ER with economic evidence needed to assist with spread and adoption. Propel@YH is assisting Smart-ER in developing its value proposition and adapting the product for uses in other clinical settings.