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AutoVS Sx Review & LINE new-admission monitor

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Vital signs from the hospital source to the Trello cards of the general surgery teams, posted only after approval.

General surgery A60 to 70 patients1st-year residentand internMale ward2nd-year residentFemale ward3rd and 4th-yearresidents, internPrivate ward, consults,surgical ICUGeneral surgery B60 to 70 patients1st-year residentand internMale ward2nd-year residentFemale ward3rd and 4th-yearresidents, internPrivate ward, consults,surgical ICUMedical students, if anySleepSleepOPDORConsultOPDORCopying before roundsCopying before reportWake up laterMore time for other thingsShiftLate OROld EMRVital signsLabsOp noteSheetTrello cardby handAutoVSVital signsLabsOp noteAutoVS reviewRecorded timeTemp°CPulse/minBPmmHgRR/minSpO2%Admission matchesApprove this rowV/S commentRead backMore infoABBoth teams read itLINE groupLINE monitorLINE groupAdmit or consultDepartment, attendingNameHospital numberUnderlying diseaseDiagnosisManagementNew Admissionby handLINE monitorGenSx admitsGen AGen BAdmit GenSxAttendingAdmit GenSxAttendingQSMH statuspasscodeLast 24 hoursUseReview runsrecentquietMatched patientsLINE admissionsAdmissionsNeeds reviewTrack useWorkflowApprovalsconfirmed, conflictReviewsokfailedAttentionalertwarningFind frictionImproveV/S collectionComplete, Partial,FailedFeedbackMarked correctMarked not correctAbnormal flagsRespondedChoose next fixRationale1 / 17
  1. Rationale

    1Our general surgery service runs two teams, General Surgery A and B (Gen A and Gen B), each with 3 to 4 residents and 2 interns for 60 to 70 patients. In each team, a first-year resident and an intern cover the male ward and a second-year resident the female ward, each with medical students if any, while the third-year and fourth-year residents and an intern cover the private ward, consults, the surgical ICU and others.

  2. 2Our residents and interns also run the outpatient clinic, the operating room and consults whenever the day's activity needs them, and they work shifts; when an operation is set after hours, residents off shift come in to help. Gathering every patient's data before rounds and again before reporting to the attending meant the day started early and finished late.

  3. 3Medical students, interns and residents copied vital signs, labs and operative notes by hand from the old electronic medical record (EMR) into the shared Sheet and Trello cards.

  4. Progress

    4I built AutoVS to collect the latest available vital-sign reading for patients on the selected team's list, straight from the hospital vital-sign source.From clinical-ops-automation vital_extract.qsmh.js:151-153 · clinical-ops-automation app.js:2763

  5. 5Each reading lands on a review card that shows when it was recorded and checks that the admission matches the hospital source.From clinical-ops-automation app.js:2540 · clinical-ops-automation app.js:2571-2573 · clinical-ops-automation app.js:2155

  6. 6No vital-sign comment is posted to Trello until the operator approves it, and AutoVS reads the hospital source again before it posts.From clinical-ops-automation app.js:545-556 · clinical-ops-automation app.js:4185

  7. 7AutoVS then posts the comment to that patient's Trello card and reads it back to confirm it landed. Both teams read it on the cards they already check often.From clinical-ops-automation origin_trello.mjs:177-235 · clinical-ops-automation origin_trello.mjs:221-233

  8. 8Gen A and Gen B already used Trello and the shared Sheet before AutoVS, and I improved both along with it.

  9. 9Our LINE group announces each admission or consult: admit or consult, the department and attending, then the patient's name, hospital number (HN), underlying disease, diagnosis and plan. For each general surgery admission, someone copied the notice from LINE, pasted it into a new Trello card and tagged the attending by hand.

  10. 10I built a LINE new-admission monitor that picks up each general surgery admission and adds it to Trello directly, as a New Admission card with the full message and the attending's tag.From clinical-ops-automation new_admission_trello.py:81-86 · clinical-ops-automation line_admission_parser.py:332-361 · clinical-ops-automation new_admission_trello.py:123-140

  11. 11Now we just move each card from New Admission to the Gen A or Gen B board.

  12. Findings

    12I can follow review runs, matched patients and LINE admissions on the QSMH dashboard to see where AutoVS and the LINE monitor are being used.From QSMH status app.js:179-466 · QSMH status index.html:24-152 · QSMH status status.css:159-194

  13. 13I can separate confirmed approvals, stopped approvals and failed reviews to find where work needs attention.From QSMH status app.js:179-334 · QSMH status report.rs:246-313 · QSMH status status.css:188-194

  14. 14I can use collection outcomes, operator feedback and responses to flags to choose what to improve next.From QSMH status measure.rs:281-337 · QSMH status app.js:485-530 · QSMH status index.html:185-221

  15. 15It already helps. Residents and interns can wake up later before morning rounds.

  16. 16They also get more information on each patient, and more time for other things.From clinical-ops-automation app.js:2102-2116

  17. Impact

    17The KPI I care about is efficiency and extra sleep for everyone in Gen A and Gen B: vital signs arrive on the Trello cards, and new admissions arrive as cards ready to move. AutoVS and the LINE new-admission monitor have been in use on surgical wards at Queen Savang Vadhana Memorial Hospital since 2026.From /industry site copy

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