How Realize-365 speeds up chart review, surfaces sepsis-consistent findings early, and helps clinicians cross-check medication histories in high-volume emergency settings.
Reduction in chart-review time
Sepsis-consistent findings surfaced 1-3 hrs earlier
Prevents QT-prolongation risks
Patient: Marcus Rivera, 44y (Presentation: Acute chest pain, dizziness, shortness of breath)
Setting: Busy urban ED, high patient volume. PMH: Hypertension, obesity (BMI 34), mild intermittent asthma. Reason for ED Visit: Sudden onset chest tightness and near-syncope.
The ED team needs to classify Mr. Rivera’s chest pain severity and determine immediate vs urgent vs routine evaluation. However, the relevant information is scattered across triage notes, prior labs, vitals, and old EKGs, slowing urgent decision-making.
Query: "Compile prior EKGs, last lipid panel, risk factors, and current triage vitals relevant to ACS work-up."
Insight: Surfaced findings — borderline ST depressions, elevated triage pain score, borderline vitals — are documented high-risk features for ACS, for clinician review.
Mr. Rivera develops a fever (101.9°F) and tachycardia 2 hours into ED observation. Nursing notes mention "possible confusion," but the ED physician has not yet reviewed all vitals, labs, and nursing comments. Subtle sepsis indicators may be missed without automated consolidation.
Query: "Analyze vitals, lactate, WBC, and nursing documentation from the last 2 hours. Determine if sepsis criteria are met."
| Parameter | Extracted Value | Criteria Match |
|---|---|---|
| Temp & HR | 101.9°F / 112 bpm | ✔ Meets criteria |
| Lactate | 2.3 mmol/L | ✔ Elevated |
| Mental Status | Mild confusion | ✔ Organ dysfunction |
Insight: Documented vitals, lactate, and mental status changes meet the charted criteria for severe sepsis (SIRS + suspected infection + elevated lactate), flagged for clinician review against the sepsis bundle protocol.
After stabilization, Mr. Rivera is ready for discharge with prescriptions for azithromycin (suspected atypical pneumonia), prednisone (short burst), and albuterol inhaler. However, he recently received QT-prolonging medications (Ondansetron) at an urgent care center, and the ED team is unsure if azithromycin is safe. Searching multiple medication histories is slow and error prone.
Query: "Review all active medications, urgent care prescriptions from the last 30 days, and identify any QT-prolonging interactions with azithromycin."
Insight: Concurrent azithromycin + ondansetron is flagged in the record as a known QT-prolongation interaction, for clinician review before discharge.
In the ED, minutes matter. Realize-365 consolidates scattered data in seconds, allowing clinicians to make faster, better-informed decisions.
By correlating nursing notes (confusion) with vitals and labs, Realize-365 surfaces sepsis-consistent findings early, supporting bundle compliance.
Checking for interactions like QT prolongation before discharge prevents bounce-backs and adverse events.