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AI agent for nurses

Vital Sign Deterioration Watch Agent

Rising scores are caught early, escalated by the nurse and checked until stable.

Vital Sign Deterioration Watch Agent: what goes in, what the agent does and what you get

What it does

Patients can worsen between rounds, and a single set of vitals may look fine while the trend is not. Each time a new set of observations is entered, the agent reads it, calculates the early warning score and compares it with the patient's previous sets. It flags a rising trend even if the score is below the call threshold, for example three sets in a row increasing. It drafts an escalation note with the trend and the numbers in the format the ward uses. If the score keeps rising, the agent drafts the note and then checks the next set before closing. The nurse approves every escalation and the nurse decides the response. Edge case: a score at or above the emergency threshold prompts the nurse at once to call for help, before any note.

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
Yes, continueApprovedYes, continueNoNo 1 STARTS WHEN New observations entered 2 USES A TOOL Read the vitals and the earlier sets 3 DOES Calculate the early warning score 4 DOES Compare with the last three sets for a trend 5 CHECKS THE RESULT Is the score at the escalation threshold or risingfor 3 sets? If not: Record the score and wait for the next set. Backto step 3. 6 DOES Draft an escalation note with the trend 7 YOU APPROVE Nurse reviews and decides the escalation 8 USES A TOOL Send the note through the ward process 9 USES A TOOL Read the next set of observations 10 CHECKS THE RESULT Has the score fallen or stabilized? If not: Draft an updated note with the new numbers andprompt the nurse to escalate further. Back to step 5. 11 RESULT Updated trend and outcome
Read the steps as a list
  1. New observations entered
  2. Read the vitals and the earlier sets
  3. Calculate the early warning score
  4. Compare with the last three sets for a trend
  5. Is the score at the escalation threshold or rising for 3 sets?If not: Record the score and wait for the next set. Back to step 3.
  6. Draft an escalation note with the trend
  7. Nurse reviews and decides the escalationThe agent waits here for your OK.
  8. Send the note through the ward process
  9. Read the next set of observations
  10. Has the score fallen or stabilized?If not: Draft an updated note with the new numbers and prompt the nurse to escalate further. Back to step 5.
  11. Updated trend and outcome

How it decides

It scores each set and compares the trend over recent sets, treating a steady rise as a flag even below the threshold.

  • Emergency threshold prompts a call for help at once
  • Three rising sets is a flag even under the threshold
  • Recheck at the interval set by the ward
  • Always show the numbers behind the score

Make it yours

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

  • Scoring system and thresholds
  • Trend rule
  • Recheck interval
  • Note format
  • Who is notified

What keeps you in control

It always asks you first

  • Nurse approves every escalation
  • Nurse decides the response and any call

Hard limits

  • Never replace the nurse's judgment
  • Never delay an emergency alert
  • Never send a note without the nurse's approval

It stops when

  • Done: score is stable or the care team has taken over
  • Stop: the patient is transferred or discharged

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 patient's scores run 2, 3, 4 over three sets, all under the call threshold of 5. The agent flags the trend and drafts a note with heart rate rising and oxygen falling. The nurse approves and notifies the doctor. The next set scores 5, so the agent updates the note with the new numbers and prompts the nurse to escalate further.

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