Patient Safety & Escalation Architecture

My Bloom Aura is an AI Patient Reception and Coordination System with a dedicated safety and escalation layer for sensitive, urgent and uncertain interactions.

Safety Principle

The safety and escalation layer is designed to review interactions for escalation signals before a response, booking or follow-up action proceeds, using clinic-configured red-flag rules.

It is designed to apply across supported patient communication channels, subject to the clinic's configuration. It supports human review and does not replace clinical judgement.

Continuous Escalation Signal Screening

Patient communications are screened in real time for escalation signals, using red-flag rules configured with the clinic.

This is designed to apply to:

  • booking requests
  • follow-up messages
  • general enquiries
  • after-hours communications

The layer is designed to apply to each of these communication types.

Escalation Signal Handling

When a patient message contains potential urgency indicators:

  • the system flags the escalation signal
  • the standard communication flow is paused
  • the clinic's escalation pathway is activated
  • patient guidance and clinic notifications are triggered as configured by the clinic

The pathway is designed to act as soon as a signal is flagged.

Escalation Flow

When a potentially high-risk case is flagged:

Patient receives the clinic's approved safety guidance

Clinic receives a structured alert

Interaction context is attached

Case is routed to a clinician or on-call team for human review

The system is designed to stop routine conversational interaction once a case is escalated.

Escalation flow: (1) Patient receives the clinic's approved safety guidance. (2) Clinic receives a structured alert. (3) Interaction context is attached. (4) Case is routed to a clinician or on-call team for human review. The system is designed to stop routine conversational interaction once a case is escalated.

OHSS & High-Risk Indicator Handling

Clinic-configured red-flag rules can include fertility-specific indicators associated with OHSS.

Indicators a clinic may configure include:

  • severe abdominal pain
  • rapid bloating
  • respiratory symptoms
  • sudden weight gain
  • post-procedure complications

Where configured, a single indicator can trigger escalation for human review.

IVF Journey Safety Coverage

Escalation rules can be configured for each stage of the IVF journey:

  • pre-treatment phase
  • ovarian stimulation
  • egg retrieval
  • embryo transfer
  • two-week wait
  • beta-hCG phase

Each stage can have context-specific rules, with potentially urgent messages routed to your clinical team for human review.

Clinical Boundaries

My Bloom Aura does not:

  • provide medical diagnoses
  • determine urgency or make treatment decisions
  • prescribe or adjust medication
  • interpret lab results for patients
  • provide outcome predictions
  • replace clinical decision-making

All clinical interpretation remains with healthcare professionals.

Data Security & Regulatory Framework

The platform is designed with the following in mind, and each clinic remains responsible for its own regulatory obligations:

  • Patient data handling aligned with UK GDPR
  • ISO 27001-aligned security controls
  • Support for clinic documentation workflows
  • Workflow design informed by relevant HFEA guidance

Audit & Governance

Every interaction is:

  • timestamped
  • stored with conversation context
  • logged with escalation outcome
  • accessible for clinical audit

This supports traceability for governance and clinical audit.

Positioning

My Bloom Aura is an AI Patient Reception and Coordination System with a dedicated safety and escalation layer for sensitive, urgent and uncertain interactions. It is not an autonomous clinical triage system: it does not diagnose, determine urgency or make treatment decisions.

It is designed for healthcare settings where potential urgency indicators need to reach a human quickly.

Clinical Briefing

A technical safety and escalation architecture briefing is available for clinic leadership teams requiring deeper implementation detail.