New nurse struggles to distinguish artifact from true hypotension during blood transfusion, leading to clinical uncertainty and fear of missing transfusion reaction.

Workarounds Described

• reassesses BP cuff manually when readings seem off
• pages charge nurse for second opinion on questionable vitals
• retakes vitals multiple times to get consistent numbers

Implied Software Gaps

• Software that automatically detects and flags possible artifact in vital signs
• Decision support tool to guide intervention threshold during blood transfusion
• Handoff communication tool that logs and contextualizes clinical events for next shift

VitalSafe Decision Support

VitalSafe is a real-time clinical decision support app that helps nurses interpret vital sign trends during high-risk procedures like blood transfusions. It detects artifact from patient movement, guides proper cuff placement with visual feedback, and provides evidence-based escalation alerts to ensure no transfusion reaction is missed.