# NATIONAL UNIVERSITY HOSPITAL TO EXPAND WEARABLE TECHNOLOGY FOR PATIENT MONITORING FOLLOWING SUCCESSFUL PILOT

- Link: https://www.thailand-business-news.com/pr-news/national-university-hospital-to-expand-wearable-technology-for-patient-monitoring-following-successful-pilot
- Published: 2026-07-15T13:58:00+07:00
- Author: PR Newswire

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_Continuous smartwatch monitoring shown to safely support post-surgical care, reducing
disruptions for patients and easing nursing time for direct patient care_

SINGAPORE, July 14, 2026 /PRNewswire/ — The National University Hospital (NUH) is
set to expand the use of wearable technology after a successful pilot found that
continuous smartwatch-based monitoring could identify changes in patients’ vital
signs up to two hours earlier than routine manual observations, demonstrating its
potential to allow clinicians to respond sooner, reduce disruptions to recovering
patients, and enable nurses to spend more time on other aspects of patient care 
that require their clinical judgement.

Following the month-long pilot, which concluded in June, NUH is now working towards
having up to 10 per cent of suitable inpatient vital signs monitoring be supported
by wearable technology over the coming year. The initiative is part of the hospital’s
broader efforts to leverage digital innovation to enhance patient safety, improve
the patient experience, and optimise care delivery.

The pilot was led by the NUH Department of Surgery in collaboration with a multidisciplinary
team comprising surgical ward nurses, operations staff, and researchers from the
Yong Loo Lin School of Medicine, National University of Singapore (NUS Medicine).
The project team included A/Prof Tan Ker Kan, Senior Consultant, Dr Lee Kai Yin,
Consultant, and Dr Lim Tian Zhi, Associate Consultant.

Participants wore a smartwatch equipped with Health Sciences Authority (HSA)-approved
vital signs monitoring capabilities that continuously monitored patients’ blood 
pressure, pulse rate, and blood oxygen saturation.

Throughout the pilot, nurses continued routine bedside vital signs checks by recording
the smartwatch readings at the usual hourly or four-hourly intervals. Where the 
smartwatch detected abnormal readings, nurses confirmed the measurements using standard
bedside equipment before escalating care in accordance with existing protocols.

**Earlier detection while maintaining patient safety **

The pilot demonstrated that wearable monitoring could safely complement routine 
post-surgical care while providing clinicians with earlier visibility of potential
physiological changes.

Key findings included:

 ◦ **No critical clinical events were missed** during smartwatch monitoring.
 ◦ **Abnormal vital signs were identified up to two hours earlier** than routine
   nursing observations.
 ◦ **All abnormal readings triggered existing clinical escalation protocols** and
   were reviewed promptly by nurses.
 ◦ **Patients experienced fewer disruptions**, especially from routine overnight
   observations.
 ◦ **Nurses reported reduced time spent on routine and repetitive monitoring tasks**.

During the pilot, the smartwatch identified the following earlier than routine nursing
observations:

 ◦ 14 episodes of low systolic blood pressure (below 100 mmHg).
 ◦ Two episodes of high systolic blood pressure (above 160 mmHg).
 ◦ One episode of low pulse rate (below 50 beats per minute); and
 ◦ One episode reduced blood oxygen saturation (below 95%).

All patients were promptly reviewed by nurses in accordance with existing clinical
protocols, and none of these episodes progressed to clinical deterioration.

**Helping patients recover more comfortably**

Beyond patient safety, the pilot sought to improve patients’ recovery experience
by reducing unnecessary interruptions, particularly when being warded overnight.

Patients in both the smartwatch and conventional monitoring groups reported waking
an average of around three times during the night. However, only seven per cent 
of the 30 patients (two patients) in the smartwatch group attributed these disruptions
to routine vital signs measurements, compared with 17 per cent of the 30 patients(
five patients) who underwent conventional monitoring.

One patient who participated in the pilot, Mdm Ho Mei Guat, said: "I found the smartwatch
comfortable to wear and easy to get used to. It allowed me to rest well during my
stay in hospital, and it was reassuring to know that my vital signs were being monitored
continuously as I recovered."

**Giving nurses more time to focus on patient care**

Currently, routine vital signs monitoring is one of the most frequently performed
nursing tasks in the hospital. Each observation takes nurses approximately two minutes,
including manual documentation.

Following the pilot, NUH plans to integrate smartwatch data directly into its EPIC
electronic medical record system, enabling automatic documentation of patient observations.
This is expected to reduce the time required for each check from two minutes to 
around 40 seconds per patient.

Nurse Manager Lim Pooi See said: "Routine vital signs monitoring is a critical component
of post-surgical care, but it can also be time-consuming and repetitive. Wearable
technology enables continuous patient monitoring while reducing unnecessary interruptions.
By replacing conventional wired monitoring with a wearable device, patients can 
move more comfortably with fewer attachments, supporting early mobilisation during
recovery. At the same time, nurses can devote more time to patients who require 
closer observation and more direct, personalised care."

**A step towards the future of inpatient care**

Associate Professor Asim Shabbir, Head and Senior Consultant in the Department of
Surgery at NUH, said, "This pilot shows how technology can strengthen, rather than
replace, clinical care. By automating vital signs monitoring, we can identify changes
in patients’ conditions earlier, giving clinicians greater visibility of their recovery
without having to wait for the next scheduled observations.

At the same time, patients can rest without being woken for vital signs checks, 
while nurses have more time to focus on direct patient care instead of routine tasks."

"The encouraging results have given us confidence to explore wider implementation
across suitable patient groups. As we expand the programme, patient safety will 
remain our top priority, and we will continue to evaluate the clinical context and
suitability of the technology in different care settings, where it can deliver the
greatest benefits."

The pilot marks the first step in NUH’s broader efforts to integrate wearable technology
into inpatient care. As the programme expands, the hospital will continue evaluating
how the technology can be safely introduced for other suitable patient groups to
improve both patient experience and support more efficient care delivery.

**About the National University Hospital (NUH)**

**­**The National University Hospital (NUH) is Singapore’s university hospital. 
While the hospital at Kent Ridge first received its patients on 24 June 1985, our
legacy started from 1905, the date of the founding of what is today the NUS Yong
Loo Lin School of Medicine. NUH is the principal teaching hospital of the medical
school.

Our unique identity as a university hospital is a key attraction for healthcare 
professionals who aspire to do more than practise tertiary medical care. We offer
an environment where research and teaching are an integral part of medicine and 
continue to shape medicine and transform care for the community we care for.

We are an academic medical centre with over 1,200 beds, serving more than one million
patients a year with over 50 medical, surgical and dental specialties. NUH is the
only public and not-for-profit hospital in Singapore to provide trusted care for
adults, women and children under one roof, including the only paediatric kidney 
and liver transplant programme in the country.

The NUH is a key member of the National University Health System (NUHS), one of 
three public healthcare clusters in Singapore. For more information, visit [www.nuh.com.sg](http://www.nuh.com.sg/)

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