Audio clinical records supplier, Sermaurei, joins the PRSB Standards Partnership Scheme

Sermaurei, a developer of software which uses automatic speech recognition, natural language processing (NLP) and machine learning to produce accurate and transparent audio clinical records, is the latest organisation to become a PRSB partner.

Founded in 2016 by dentist and entrepreneur, Kehinde Gbolade, Sermaurei specialises in creating records with true clinical dialogue, which serve to benefit both clinicians and patients in the capturing of the individual’s medical data and their care planning.

“Until now, clinicians have relied upon hand-written notes or dictation to assistants while conducting procedures,” Gbolade explained. “But the recording of dialogue with a patient eradicates the risk of dispute, can save hours previously spent writing and distributing notes and provides clinicians with greater opportunity to focus solely on delivering care.”

The solution allows clinicians and patients to talk, while Sermaurei captures and stores the conversation. Both parties, and any other agency with permission and a legitimate reason for doing so, can then listen back to these records, captured in real time. The platform can also automatically transcribe the audio, should text-based records be required.

Speaking about the appeal of the Standards Partnership Scheme, Gbolade said: “We’re all about standards and showing to people that we are compliant with the latest obligations. With the COVID-19 pandemic changing the way in which care requirements are determined and administered, demand for digital transformation has accelerated and now is the right time to ensure Sermaurei is best placed to deliver on those requirements.”

“The next step is to ensure the platform is seamlessly accessible to all healthcare providers. This is about making information easily accessible to the right people at the right time.”

PRSB CEO, Lorraine Foley, commented: “The solution devised by Kehinde and her team at Sermaurei is a welcome addition in the market. Software that allows clinicians to capture discussions about care and treatment with people who use services will help paint a fuller picture of decision-making and improve openness between professionals and the public. I look forward to working in partnership with Kehinde and her team to champion the role of standards in supporting person-centred care.”

CHAT theory also explicitly addresses five areas which if addressed systematically will help overcome stakeholder differences in pursuit of the common goal:

1. Understanding the artefacts that characterise the group and its activity.
• The artefacts might be clinical settings or the forms and templates used to capture and share information. During the pilot we heard about hard copy Dialog response forms; locally generated templates for collating information from different systems; letters and emails to GPs; images, poems or other non-text artefacts that service users might want to include in their ‘about me’ or care plan.

2. Understanding the multi-views of the group. Such groups are always a community of multiple points of view, traditions and interests. 
• Different participants in the group will have different roles and will bring to the group and their roles their own histories, language, and ‘rules’. During our Stocktake preparations and workshops we worked with psychiatrists, mental health nurses, occupational therapists, social workers, transformation leads and voluntary sector representatives, all professions and interests with their own language, approaches professional ‘rules’ but united in their interest in care plans, care planning.

3. Activity systems (like the ICSs) take shape and get transformed over periods of time. ‘Historicity’ is a term coined to express how the group’s problems and potentials can only be understood against their own history. 

 

• ‘We’ve always done it this way’, ‘that didn’t work before’, ‘it’s always like this’, ‘it wasn’t always like this’, ‘they are changing things again’, are all typical statements that often frustrate those charged with overseeing change initiatives. Without addressing the experiences that lie behind such comments you risk repeating mistakes of the past, alienating your stakeholders or just not understanding the real starting point for your transformation project. This is particularly the case for the implementation of the PCSP standard, the success of which will be largely reliant on point-of-care practices and information protocols as well as having systems which are user friendly and appropriately configured.

4. The central role of contradictions as sources of change and development. Contradictions are not the same as problems or conflicts. Contradictions are historically accumulating structural tensions within and between activity systems. Collectively addressing contradictions in how policy, practice, culture and technology interact will empower teams to find genuinely novel solutions for apparently intractable challenges, like interoperability and shared care plan/planning. 

This links to the fifth principle that:

5. the possibility of expansive transformations in activity systems. As the contradictions of an activity system are aggravated, some individual participants begin to question and deviate from its established norms. In some cases, this escalates into collaborative envisioning and a deliberate collective change effort. “An expansive transformation is accomplished when the object and motive of the activity are re-conceptualised to embrace a radically wider horizon of possibilities than in the previous mode of the activity.”