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AI agent for nurses

Discharge Follow-up Call Agent

Every discharged patient gets a follow-up call and problems are acted on

Discharge Follow-up Call Agent: what goes in, what the agent does and what you get

What it does

Calls in the first days after discharge catch problems with medicines, symptoms and follow-up appointments before they turn into readmissions. Each day this agent builds the call list from discharges so every patient is called within 48 hours. It prepares a call sheet with the discharge medicines, warning signs to ask about and booked appointments. The nurse makes the call and records answers. Patients not reached are retried the next day, up to three attempts, and then sent a letter. After each call, the agent flags problems such as a prescription not filled, a new or worsening symptom, or no follow-up visit booked, and creates a task for each. It then checks that every task is closed. If a patient describes urgent symptoms during the call, the unit's escalation protocol is shown to the nurse at once. Edge case: urgent symptoms override the call script.

How it works

Follow the arrows from top to bottom. The orange dashed arrow is the loop: when a check fails, the agent goes back and tries again.

Start and resultWhat it doesA check on its own workWaits for your OKGoes back and retries
ApprovedYes, continueYes, continueNoNo 1 STARTS WHEN Daily discharge list 2 USES A TOOL Build call list for discharges in the last 48 hours 3 DOES Prepare call sheet with medicines, warning signs andappointments 4 YOU APPROVE Nurse makes calls and records answers 5 CHECKS THE RESULT Was the patient reached? If not: retry next day, send a letter after threeattempts. Back to step 2. 6 DOES Flag unfilled prescriptions, symptoms and missingappointments 7 USES A TOOL Create a task for each problem 8 CHECKS THE RESULT Is every task closed? If not: remind the task owner and recheck. Back to step7. 9 RESULT Call log
Read the steps as a list
  1. Daily discharge list
  2. Build call list for discharges in the last 48 hours
  3. Prepare call sheet with medicines, warning signs and appointments
  4. Nurse makes calls and records answersThe agent waits here for your OK.
  5. Was the patient reached?If not: retry next day, send a letter after three attempts. Back to step 2.
  6. Flag unfilled prescriptions, symptoms and missing appointments
  7. Create a task for each problem
  8. Is every task closed?If not: remind the task owner and recheck. Back to step 7.
  9. Call log

How it decides

Problems are flagged by type.

  • Call every discharged patient within 48 hours
  • Retry up to 3 attempts, then send a letter
  • No follow-up appointment booked triggers a booking task
  • Urgent symptoms during a call show the escalation protocol at once

Make it yours

Every agent is a starting point. You choose these settings for your own situation.

  • Call timing
  • Attempts
  • Questions
  • Patient groups

What keeps you in control

It always asks you first

  • Clinical advice

Hard limits

  • No clinical advice by the agent

It stops when

  • Done: call complete
  • Stop: unreachable after 3 tries

Set it up

We guide you through the set-up, step by step

Members get the full set-up guide for this agent. No technical skills needed: you copy, paste and upload.

10 minto set it up in your AI
5 AIsChatGPT, Claude, Copilot, Gemini, Grok
  • One set of instructions to paste into your AI, with the clicks for ChatGPT, Claude, Microsoft 365 Copilot, Gemini and Grok
  • The agent then walks you through connecting your own data, one source at a time
  • A downloadable copy with the flow chart, the rules and the full guide
Get access to this agent

An example run

What happensA heart failure patient discharged on Monday was not reached Tuesday, so the agent retried Wednesday. On the call, the patient said he had not filled furosemide and had gained 2 kg. The agent flagged both and created tasks. The nurse arranged the refill the same day and alerted the cardiology clinic. The task check passed after the clinic booked a visit two days later.

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