Pre-operative compliance and documentation

The instruction was given.
It was never delivered.

Patients are told what to do in a fifteen-minute clinic appointment, weeks before the date, alongside everything else. Nobody checks in between. SynaptoFlow sends each patient a checklist as a link and writes down exactly what happened.

The live demo runs entirely in your browser and stores nothing.

01What a cancellation costs
Cases cancelled on the scheduled day
0%

Zafar et al., Journal of Ayub Medical College Abbottabad, 2007. A prospective audit of elective general surgical cancellations at Ayub Teaching Hospital. 25% of scheduled cases were cancelled; 43% of avoidable cancellations traced to patient preparation failures, not the hospital.

Avoidable, traced to patient preparation
0%

A prevented cancellation at the AKUH 2025 laparoscopic cholecystectomy package rate of roughly PKR 277,000 covers the SynaptoFlow subscription for close to a year on its own.

02How it works
01

Add the patient

Name, date of birth, procedure, date. The system drafts a procedure-specific checklist. You edit it before anything is sent.

02

They get a link

Email, or SMS on request. It opens in their phone browser in English or Spanish. No app, no account, no password to forget between clinic and surgery.

03

You watch the board

Sorted by risk rather than alphabetically. The patient who operates Thursday and has never opened their link sits at the top.

03Monday morning

Sorted by who is about to go wrong.

Not alphabetical, not by date. The patient whose surgery is closest and whose checklist is emptiest sits at the top. Today you find that out on the morning of surgery. Here you find it out while your office can still pick up a phone.

Bibi, N.
12%
Link never opened
Lap. chole
Farooq, M.
38%
Anticoagulant not stopped
TKA
Shafiq, I.
63%
BP unrecorded
Hernia repair
Parveen, R.
88%
Fasting not confirmed
Lap. chole
Siddiqui, A.
100%
Cleared
Cholecystectomy

Illustrative. Not real patients.

04The audit timeline

A record its owner can edit is not a record.

Every event is timestamped: when the link was sent, when the patient opened it, when they consented, what they typed, from what address.

That log is append-only, enforced by the database rather than by a rule in the software. It cannot be edited or deleted by the patient, by your staff, or by us. Attempting it raises an error.

It prints as a one-page compliance record for the chart.

Compliance recordAppend-only
  1. 14 Aug
    09:12
    Link delivered
    system
  2. 14 Aug
    20:42
    Record opened
    patient
  3. 14 Aug
    20:43
    Consent recorded
    patient
  4. 16 Aug
    09:04
    Anticoagulant stopped
    patient
  5. 18 Aug
    07:30
    Fasting confirmed
    patient

Illustrative entries. Not from a real patient.

05Where this actually is

No production users yet

Built and independently security-audited. It has not run a surgical list. The first practice is a design partner, priced and treated as one.

No EHR integration

It does not write to any hospital management system. Patient entry is manual, which is why setup takes twenty minutes rather than a procurement cycle.

Not a medical device

It delivers and documents the instructions you give. The drafted checklist is a starting point you edit. Nothing reaches a patient unreviewed.

Competitors exist

Several local vendors sell hospital management software in Pakistan. None of them offer an integrated pre-operative, intra-operative and post-operative record under one audit trail. That gap, not the whole hospital system, is what this is built for.

Move the discovery of a problem from the morning of surgery to four days before it.