Clinical Decision Support

Real-time alerts and personalized recommendations.

In an environment where doctors are already overwhelmed with documentation, alerts that interrupt workflow or provide generic advice are often ignored, leading to alert fatigue and missed opportunities for better care. Pensieve revolutionizes Clinical Decision Support (CDS) by delivering it through an intelligent, always-available AI chat agent that feels like consulting a knowledgeable colleague rather than fighting against intrusive pop-ups, ensuring it becomes an integral part of daily practice rather than an annoyance. Embedded directly into the patient data view, the CDS agent appears as a discreet chat panel on web, tablet, or mobile apps - accessible with one tap whenever the doctor needs guidance. It is fully context-aware, automatically loading the entire anonymized patient profile the moment the record opens: current diagnoses with ICD-11 and SNOMED mappings, active orders and prescriptions, recent vital trends from templates (blood pressure spikes, temperature curves, IP assessment sheets), laboratory results, allergies, comorbidities, onset dates, severity flags, and even related attachments like radiology reports or discharge summaries from prior admissions. No manual input required - the agent knows the patient's story as comprehensively as the treating doctor, but with instant access to evidence-based knowledge. Doctors interact naturally - type or voice-dictate questions like “What are the likely differentials for this 45-year-old with chest pain and elevated troponin?”, “Is this antibiotic appropriate given the renal function?”, “Suggest sepsis bundle for this presentation”, “Any drug interactions with the new antihypertensive?”, or “Generate a discharge summary draft”. The AI responds in seconds with concise, prioritized suggestions - ranked differentials with probability estimates drawn from millions of de-identified cases (augmented by your hospital's own anonymized data via federated learning), guideline references (IDSA, AHA, Indian ACP, NICE), dosage adjustments for renal/hepatic impairment, alternative therapies if contraindications exist, and proactive flags for high-risk scenarios like potential AKI, sepsis early warning, or readmission predictors. Privacy is paramount: all patient data fed to the agent is stripped of identifiers (name, address, phone, Aadhaar) before processing, remaining compliant with India's DPDP Act and HIPAA for future US expansion. Responses are tailored to local practice - preferring Indian generics and brands today while seamlessly incorporating FDA guidelines tomorrow - and appear in plain language with expandable sections for deeper evidence. The agent learns continuously: doctors can thumbs-up or thumbs-down responses, provide feedback (“this suggestion ignored family history”), or override with justification, refining future outputs for the entire organization without compromising individual patient data. Over time, it aligns with your hospital's protocols - highlighting NABH-mandated checks or site-specific antibiotic policies. Beyond reactive queries, the agent proactively chimes in during critical moments: as a doctor adds an order, it whispers “Potential duplicate therapy with existing beta-blocker” or “Consider adding PPI for this NSAID in elderly patients”. During template entry (e.g., IP assessment), it suggests completing missing fields based on patterns. For complex cases, it can simulate “what-if” scenarios: “If we start steroid taper, projected resolution timeline based on similar cases”. In Pensieve, CDS is not a barrage of ignored alerts; it is an empathetic, omniscient AI partner that speaks when spoken to, anticipates needs, respects time, and evolves with your team - turning good doctors into great ones across bustling Indian OPDs today and sophisticated American ICUs tomorrow.