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Identification of risk patients in emergency departments is a complex interplay between clinicians, patients, working procedures, and information systems. Through a mixed methods approach, we have developed an novel patient monitoring dashboard that couples clinical data streams to convey the state and trajectory of patients admitted to the emergency d epartment. In this paper, we describe the design and implementation of the novel system by providing a description of how the project was conceived, divided into subsequent phases, and is currently being executed. Experience from this work highlights the importance of carefully assessing each on-site installation point, interdisciplinary partnerships through embedded presence, and continuous emphasis on the purpose and aim as a mean to greatly improve project momentum and buy-in.
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