How to Automate PeriGen

The strip is the record, and somebody has to be reading it

PeriGen builds perinatal software for labor and delivery. PeriWatch Surveillance is the surveillance and documentation layer: a patient census with configurable columns and colors, central surveillance that puts up to thirty patients on one screen with each tracing trendable on its own, bedside surveillance in single or dual-screen layouts, and archiving that brings back a previous visit's tracings.

Capture starts early. Data gathering begins when the mother is placed on a monitor, even before she is admitted, and bi-directional interfaces keep the surveillance system and the EMR in step, with single sign-on, auto-admit and discharge.

The unit around it never has a predictable hour. A labor and delivery floor holds patients who are stable, patients who are not, and patients who will change category in ten minutes, watched by nurses who are also documenting, an obstetrician who may be in theater, and a charge nurse holding the census in their head.

The unit's paperwork is graded by people who were not there

A birth is a clinical event, and then for months afterwards an administrative one.

The unit reports its numbers outward. A perinatal quality collaborative wants measures submitted on its own portal by a date. A safety bundle asks the unit to attest that its drills, its hemorrhage cart and its escalation protocol are current, and the evidence for that sits in three places, none of them the tracing archive. Drill and simulation attendance is tracked on whichever learning system the hospital bought.

Then the patients who leave the unit but not the service. A mother transferred out to a higher level of care, with the accepting hospital's system holding what happened next. A baby who went to a neonatal unit elsewhere. A woman with a hypertensive disorder needing a blood pressure check within days of discharge, booked in a clinic system the labor floor cannot see.

The charge nurse ends up chasing all of it between deliveries.

PeriGen

Quality measures ready before the deadline The collaborative's portal read weekly, with the measures still outstanding named and the submission date attached to each one.

Drill attendance checked, not assumed Who is overdue for a shoulder dystocia or hemorrhage drill, pulled from the learning platform rather than from memory.

Transferred patients followed to the next hospital What happened after a transfer out, read from the accepting hospital's system so the unit hears it as a record rather than a rumor.

Vigilance already escalates without waiting to be asked

PeriGen has automated the watching itself, and that is the part most worth having.

PeriWatch Vigilance uses FDA-cleared algorithms and supervised machine learning to interpret fetal heart rate patterns and detect uterine contractions, monitoring data continuously from the EMR and the central monitoring system, and notifying clinicians when maternal vital signs, fetal heart rate patterns or labor progress evaluations exceed the safety limits the hospital itself defined. PeriWatch Cues annotates the fetal heart rate for baseline, accelerations and decelerations as an adjunct to a qualified clinician's decision at term. LaborWatch escalates persistently concerning trends up the chain of command, sending alerts to leadership through whichever messaging platform the organization already uses. Threshold alerts match the facility's own guidelines, and Quality Reports turn the record into performance measures.

All of that runs on the tracings, the vital signs and the documentation the system already holds.

The quality collaborative's submission portal is not one of those. Neither is the accepting hospital's system, the learning platform holding drill attendance, or the outpatient clinic where a postpartum blood pressure check gets booked. Each one is a website with a login and a person who was meant to check it.

The unit can know its own numbers before anyone asks

Apply the discipline the unit gives the strip to the paperwork the unit is graded on.

The quality collaborative's portal read each week, with the measures still outstanding named and the submission date attached, so a deadline becomes a plan rather than a weekend. Drill and simulation attendance pulled from the learning platform and listed by who is overdue, which is the difference between a shoulder dystocia drill everyone did and one everyone believes they did.

Transferred mothers and babies followed up on the accepting hospital's system, so the unit learns what happened next rather than hearing it in a corridor. Postpartum blood pressure checks for hypertensive patients confirmed as booked, and the women with nothing in the diary named while the check is still within its window. Hemorrhage cart supplies checked against the distributor pages that hold the answer.

Nobody needs to build anything first. It is checking a website rather than a monitor.

The boundary on a labor floor is absolute. This gathers, compares and flags. It reads no tracing, watches no patient and makes no clinical judgement, and anything that changes a record or reaches a mother waits for a qualified clinician, because the person who speaks to a patient here should be the person who examined her.

Reading a portal is not clinical judgement

It is careful attention paid to a screen, on a schedule, by somebody who will notice a date. Worth doing, and not worth a charge nurse's shift.

WebRun is an agent that works a real Chrome browser, signed in the way your staff sign in. It opens the collaborative's portal, the accepting hospital's system, the learning platform or the clinic's booking page, reads what is there, and brings the answers back attached to the right patient or the right nurse.

It runs on your schedule in your own private environment, sessions are not shared between tools, and a workflow can be locked to an explicit list of sites. You can watch a run and stop it at any point.

The cards below set out which site each workflow reads, and when.