Digital Transformation at DBTH

Making the very best of technology to improve the care we provide for our patients.

Digital Transformation is the term we use to describe the number of exciting schemes at the Trust which are about making the most of new technologies to improve how we work, ultimately improving the quality of care we provide for our patients.

As an ongoing process, we have completed ‘phase one’ of our Digital Transformation at DBTH, and will soon embark upon ‘phase two’. Work which has already been completed includes the following timeline, as well as a brief description of the various projects:


Hospital@ is a system provided by Nervecentre which replaces evening and weekend non-urgent bleeps.

By logging tasks on desktop PC via this new service, doctors receive these alerts in real-time via a mobile device, marking them as closed when complete.

This is a substantial improvement upon previous methods of working when a health professional would have to pick up a phone to bleep a doctor, who would in turn receive a message via a pager to call a certain number, find a phone and speak to the relevant colleague to find out what needed to be done.

eObservations and sepsis

This new system is an extension of Hospital@ and will replace paperwork for patient observations. Instead, using a mobile device, clinicians will record information via the eObservations app, and the system will calculate whether results are outside the normal range, alerting a senior nurse or medic if urgent attention is required.

This is an exciting change for the Trust and will ensure that we are making the most of technology to deliver the highest quality patient care. We want to thank colleagues in advance for their support of this new system and encourage you to start to have these conversations with patients if necessary.

Inpatient flow

The Trust has launched eReconcilliation software to a number of areas within the Trust in an effort to modernise and improve our current practises.


Electronic urinalysis and bowel charts implemented in 2020.

The charting option enables digital recording replacing any existing paper charts. The benefit of digital charts is not only the real-time accuracy of totals, but also the visibility and accessibility to charts. Electronic charts are not as fallible as paper and cannot be lost.


The Trust has launched eReconcilliation software to a number of areas within the Trust in an effort to modernise and improve our current practises.

Reconciliation at the Trust allows us to understand what activity has been undertaken with a patient, what future plans are, as well as ensuring the organisation receives appropriate payment for this work from commissioners. It is an incredibly important practise and one which is essential to the delivery of high quality care and treatment.

Phase two 

The next phase of the project will bring with it a whole host of further improvements, amongst which is ‘Nursing Assessments’. In short, this will mean digitising the current process when a patient is admitted to a ward area by recording patient details onto a secure digital portal creating a record for them which can be accessed by clinicians as necessary. By updating the process in this way, it eliminates the possibility of any paper notes being mislaid or misread, whilst updated information can be viewed in real-time for those nurses and doctors who need to see it.

Furthermore, any additional assessments can be scheduled, giving the attending clinician a prompt for when further action is required.

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