Reference table
Safety responsibility
Sets out which safety duties rest with Pensieve and which rest with the hospital, so the medical superintendent can see each boundary.
Clinical safety in Pensieve is shared. This page sets out which safety duties rest with the platform and which rest with the hospital, so the medical superintendent can see each boundary.
Where the boundary sits
Pensieve provides the mechanisms that make safe work checkable. One patient record, a check before a risky action, verification separated across two people, an attributed entry, and a searchable trail. The hospital owns the clinical decision, the configuration of each rule, and the people who act. The line runs between the mechanism and the judgement.
The record
| Safety duty | Pensieve provides | The hospital owns |
|---|---|---|
| One patient record | One record every tool reads and writes, held once as the patient's own object outside the tenancy structure rather than at the organisation | The clinical content entered into it |
| Attribution | Each entry named to a person and a moment | Each member of staff signing in as themselves |
| A readable history | A corrected entry kept as a new version, the prior retained | The clinical accuracy of each entry |
Medication and orders
| Safety duty | Pensieve provides | The hospital owns |
|---|---|---|
| Order checks | Dose range, allergy and interaction review presented at ordering | The clinical decision to proceed or to hold |
| The catalogue | A fixed, snapshotted catalogue and the order lifecycle | The items the catalogue holds and their rules |
| Administration safety | The five rights prompt, and the witness and second-check gates | The staffing and training that carry them out |
Results
| Safety duty | Pensieve provides | The hospital owns |
|---|---|---|
| Two-person verification | Entry and verification held as separate capabilities | Assigning entry and verification to different people |
| Critical results | A critical value flagged and routed for acknowledgement | The clinician acting on the acknowledgement |
Access and audit
| Safety duty | Pensieve provides | The hospital owns |
|---|---|---|
| Access decision | One access decision from role and relationship, with a patient lens | The roles, relationships and consent the hospital configures |
| The audit trail | An audit entry written with each change | Reviewing the trail and acting on what it shows |
| Alerts | A ledger, grouping, acknowledgement and escalation | The rules that fire and the people who respond |
Name an owner for each configurable area
We recommend a named owner in the hospital for each configurable area: the catalogue, the alert rules, the duty roster and the access model. Pensieve carries the mechanism, and the owner keeps the configuration current.
Read the hazard log for the hazards these duties address in the hazard log.