How Realize-365 helped surface documented findings early and streamline recovery for a post-operative tibial fracture patient.
Per patient review session
Early visibility of documented findings
By 1 day avg. via timely mobilization
Patient: Liam Torres, 28y (Diagnosis: Left tibial shaft fracture, post-ORIF)
Post-operative inpatient rehabilitation transitioning to outpatient follow-up. History of asthma and smoking. Active prior to injury. The challenge was managing early mobilization while monitoring for subtle post-op complications often buried in fragmented EMR data.
On post-op day 2, pain is controlled, but PT reports light-headedness and nursing logs show borderline urine output. These findings are buried in separate EMR sections, so the documented pattern is hard for the care team to see in one place, which could delay their review.
Query: "Summarize last 24-hour vitals, urine output, and PT tolerance in a single timeline for clinician review."
Insight: Documented vitals trend is consistent with mild volume depletion, flagged for clinician review, with the documented vitals and therapy notes linked in one view.
Post-op Day 6: Patient reports mild calf pain and bruising. Nurse documents slight tachycardia and darker urine. These findings are scattered, delaying recognition of potential bleeding or DVT.
Query: "Summarize documented anticoagulation administration, vitals, and lab results in one view for clinician review."
Insight: Documented findings are consistent with possible early bleeding complication or developing DVT, flagged for clinician review, with the documented labs and exam notes linked for the clinical team’s evaluation.
Day 8 post-discharge: Home health nurse notes mild drainage and redness. The note sits in the EMR without immediate review, risking delayed SSI recognition.
Query: "Show documented wound appearance notes, temp trends, and WBC changes since discharge in one timeline for clinician review."
| Day | Temp | WBC | Insight |
|---|---|---|---|
| Day 8 | 98.6°F | 10.2 | Healing |
| Day 10 | 100.8°F | 12.2 | Trend Change Documented |
Insight: Documented temperature and WBC trend is consistent with a superficial surgical site infection per CDC postoperative wound surveillance criteria, flagged for clinician review.
4-week post discharge: Surgeon needs to evaluate healing and adherence. Data is scattered across radiology, PT notes, and home logs. Compiling this manually takes 20+ minutes.
Realize-365 compiles a structured, source-linked summary of the documented record:
Fracture Healing: X-ray shows early callus formation. Intact hardware. No displacement.
PT Adherence: 88% adherence. Week 3 missed session flagged for reinforcement.
Pain Trend: Reduced from 6/10 (Week 1) to 2/10. Controlled on non-opioids.
Insight: Documented healing, adherence, and pain trends are consistent with on-track recovery, flagged for clinician review of full weight-bearing clearance at Week 6.
This case demonstrates how Realize-365 unifies fragmented data (vitals, nurse notes, PT logs) so documented patterns are visible to the care team in one place.
By surfacing documented trends (HR increase, urine color change) 24-48 hours earlier, Realize-365 gives clinicians earlier opportunity to review and evaluate the record themselves.
Saving 20+ minutes per patient review allows clinicians to focus on decision-making rather than data gathering.