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DAISY: Digital Alert and Information System

DAISY brings together valuable clinical information from different systems and promptly alerts the care team to suspected sepsis and other critical conditions.

Participating institutions

  • Bielefeld University
  • Klinikum Lippe
  • University Hospital OWL of Bielefeld University, Campus Klinikum Lippe
  • OWL University of Applied Sciences and Arts

Participating companies

  • KMSEC GmbH
  • COMED

Integrated with clinical systems from

  • SAP
  • Mesalvo

Research

Research for safer patient care

DAISY links laboratory results with clinical data and identifies indications of acute conditions. The research covers the development and validation of clinical algorithms and their integration into routine care.

Research priorities

PriorityDescription
Early detection of sepsisDevelopment and validation of a machine learning model that identifies an increased risk of sepsis from the complete blood count.
Detection of sample mix-upsIdentification of implausible result sequences that indicate a mix-up of blood samples (wrong blood in tube).
Integration into clinical routineDelivery of alerts into the hospital’s existing information systems, without additional applications.
Acceptance in everyday clinical practiceEvaluation of alerting with regard to relevance, acceptance and the avoidance of alarm fatigue.
Open sourceRelease of selected components as open-source software to make methods transparent, traceable and reusable.DAISY on GitHub

System architecture and data flow

Data sources

  • Laboratory results

  • Clinical data

  • Further measurement methods

Planned

Connection of further clinical systems, such as radiology.

DAISY core

Data integration

Consolidation of relevant patient data from different clinical systems.

Algorithmic analysis

Analysis of the data using defined criteria and clinical algorithms.

Alert management

Targeted delivery, escalation and acknowledgement of alerts.

Information and alerting

  • Patient overview in the HIS

    Colour-coded risk indicator in the ward overview.

  • Laboratory information system

    Result as a separate value on the laboratory order.

  • Laboratory report

    Note on the printed report.

  • DAISY website

    Further information on each alert.

  • Telephone consultation

    The laboratory calls the ward for urgent results.

Users

Medical and nursing staff

Receive alerts within their existing workflow.

Laboratory medicine

Validates critical alerts and agrees on further steps with the wards.

Feedback from clinical practice is continuously fed into further development

Roadmap

Project milestones

DAISY is being developed step by step: from the validation of individual algorithms through pilot operation to use as an approved medical device.

  1. 1Completed

    Sepsis model

    Development and validation of a machine learning model that detects an increased risk of sepsis from the complete blood count.

  2. 2In progress

    Pilot operation

    Use of the sepsis algorithm at the Detmold site of Klinikum Lippe, on ward 1E and in the emergency department.

  3. 3In progress

    Further algorithms

    Integration of further algorithms, including acute kidney injury, hypokalaemia, liver fibrosis (FIB-4) and the detection of sample mix-ups.

  4. 4Planned

    Scientific evaluation

    Studies on alert behaviour, acceptance and clinical benefit based on data collected in operation.

  5. 5Planned

    Connection of further systems

    Integration of additional clinical data sources, such as radiology.

  6. 6Planned

    Approval as a medical device

    Preparation of the approval of DAISY as a medical device.

Publications

Scientific publications

Peer-reviewed publications from the DAISY project.

Publications

YearPublication
2025Analyte Importance Analysis in Machine Learning-Based Detection of Wrong-Blood-in-Tube Errors Using Complete Blood Count Data

Barış Gün Sürmeli, René Staritzbichler, Clemens Ringel, Saleem Al-Dakkak, Helene Dörksen, Thorsten Kaiser

Journal of Personalized Medicine 15(9):404 (2025) · DOI 10.3390/jpm15090404

Press

Press and media

Media coverage of the DAISY project and the research at the University Institute for Laboratory Medicine. The articles are in German.

  • Thorsten Kaiser und René Staritzbichler mit dem Jörg Schwarzbich Inventor Award
    © Universität Bielefeld / Stefan Sättele

    Klinikum Lippe ·

    Wegweisende Entwicklung in der Labordiagnostik

    Prof. Dr. med. Thorsten Kaiser und Dr. René Staritzbichler erhalten den mit 40.000 Euro dotierten Jörg Schwarzbich Inventor Award für ihre Entwicklung in der Labordiagnostik.

    Read article
  • Der Jörg Schwarzbich Inventor Award, eine Kerze mit Kippschalter
    © Stefan Sättele

    Aktuell Uni Bielefeld ·

    Zukunft der Labormedizin ausgezeichnet

    Der „Spectimprover“ verbindet Ramanspektroskopie mit Künstlicher Intelligenz und misst mehrere Biomarker gleichzeitig, ohne Reagenzien. Die Universität Bielefeld würdigt die Arbeit mit dem Inventor Award.

    Read article
  • Illustration: Forschende untersuchen Erreger unter einer Lupe
    Bild: freepik

    cibX Magazin ·

    Sepsis als globales Gesundheitsproblem

    Der Beitrag ordnet Sepsis als weltweites Gesundheitsproblem ein und stellt DAISY vor: ein KI-Modell, das ein Sepsisrisiko anhand eines einfachen Blutbilds erkennt.

    Read article

Team and partners

Participating institutions and project team

  • Klinikum Lippe

    Institute

    University Institute for Laboratory Medicine, Microbiology and Clinical Pathobiochemistry

  • University Hospital OWL, Campus Klinikum Lippe

    Hospital

    Campus Klinikum Lippe, University Hospital OWL of Bielefeld University

  • Funding

    To be announced

Project team

Univ.-Prof. Dr. René Staritzbichler · Saleem Al Dakkak · Univ.-Prof. Dr. Thorsten Kaiser · Dr. Clemens Friedrich Ringel

M. Struck · B. G. Sürmeli · M. Tashtiba · M. Sure · P. Kaftan

FAQ

Frequently asked questions

What is DAISY?

DAISY (Digital Alert and Information System) is a clinical decision support system with a focus on laboratory medicine, developed at Klinikum Lippe. It evaluates incoming laboratory results automatically and informs the care team when there are indications of sepsis and other acute conditions.

Is an alert from DAISY a diagnosis?

No. An alert indicates a markedly increased risk and does not replace a diagnosis. The absence of an alert does not rule out a disease. The medical decision always rests with the care team.

Which data are processed?

DAISY only processes data that are already available as part of routine care: laboratory results from the laboratory information system (LIS), data from the hospital information system (HIS) and spectroscopy results. The sepsis algorithm only needs the complete blood count, age and sex; no additional blood sample is required.

Where is DAISY used?

The sepsis algorithm is in pilot operation at the Detmold site of Klinikum Lippe, on ward 1E and in the emergency department. It evaluates around 500 blood counts per day on average.

Are data processed outside the hospital?

No. DAISY runs entirely within the IT infrastructure of Klinikum Lippe.

Contact

Contact and collaboration

We welcome enquiries about partnerships, scientific exchange or joining the project.

Send email

Universitätsinstitut für Laboratoriumsmedizin, Mikrobiologie und klinische Pathobiochemie

Univ.-Prof. Dr. med. Thorsten Kaiser

Klinikum Lippe, Röntgenstraße 18, 32756 Detmold

+49 5231 72-1231 (Office)

daisy@klinikum-lippe.de