Case Studies / NICU Patient Tracking System

NICU Patient Tracking System
for Clinical Handover

A UK children’s healthcare trust needed a digital way to track neonatal patient information across shifts, reduce paper-based risk, and support rapid re-admission context within an existing Microsoft 365 environment.

  • SectorRegulated healthcare
  • DeliveredTwo connected Canvas Apps on a shared SharePoint model

The problem behind the work

A neonatal intensive care team was working in a high-acuity environment where continuity of patient information mattered every hour. Patient charts were maintained on paper across day and night shifts, and handovers relied on a mixture of verbal updates and informal documentation.

When patients were discharged and returned within 24 hours, previous context was difficult to access quickly, delaying assessment and creating avoidable administrative friction.

  • Paper-based tracking

    Patient data was captured on paper charts with no central digital record or live view.

  • Misplaced and incomplete charts

    Paper records could be lost, mislabelled, or left incomplete during busy shifts.

  • Unstructured handover

    Incoming staff relied heavily on verbal handover rather than a complete timestamped record.

  • Re-admission context gaps

    Recent care history was difficult to retrieve quickly when a patient returned soon after discharge.

What was delivered

Two connected Canvas Apps were delivered on a shared SharePoint data model: one for patient tracking across shifts and one for discharge and re-admission workflows.

Patient tracking app

Nurses could capture observations, interventions, status updates, treatment details, and notes directly against each patient.

Shift-by-shift history

A chronological patient timeline gave incoming staff current and historical context at handover.

Discharge and re-admission app

Clinical teams could track discharge events and immediately surface prior records when a patient returned.

Shared SharePoint model

Both apps used one data layer to avoid duplication and preserve continuity between workflows.

Role-aware access

Access controls were aligned to clinical roles within the existing Microsoft 365 environment.

Low-disruption deployment

Canvas App delivery supported fast rollout with minimal infrastructure change.

What changed

Paper charts reduced

Patient data could be captured digitally at the point of care.

Handover improved

Incoming staff gained a clearer, timestamped view of recent patient activity.

Faster re-admission assessment

Prior care records could be surfaced quickly when a patient returned within 24 hours.

Better data quality

Structured digital forms improved consistency across shifts and users.

Governance maintained

The solution stayed within the organisation’s existing Microsoft 365 and data governance boundaries.

Lower admin burden

Clinical teams spent less time piecing together information from paper records.

Platform components

  • Power Apps (Canvas)
  • Power Automate
  • SharePoint
  • Microsoft 365

Still relying on paper and handover?

Where continuity of information matters, tell us how records are kept today and we will explain how we would approach it.