In short: A missed-dose medicine alert system watches every scheduled dose, reminds the patient, and if the dose is still not confirmed, alerts a nurse, family member or doctor in order. In hospitals it also checks the right patient and the right medicine before every dose. Alertiva is MY Zorvella's agent and mobile app for exactly this, and it is coming soon.
Why missed doses are a bigger problem than they look
The World Health Organization reported that among patients with chronic diseases in developed countries, adherence to long-term treatment averages only about 50%, and it is lower in developing countries (WHO, "Adherence to Long-Term Therapies"). Behind that number are very ordinary reasons:
- People forget, especially with several medicines at different times.
- Families are not told when an elderly parent misses a dose.
- In care homes and wards, a busy shift can miss a round, and nobody notices until later.
- High-alert medicines, such as insulin, need extra checks that are easy to skip under pressure.
- Storage problems, like a fridge that is too warm, can spoil medicine without anyone knowing.
Simple phone alarms help a little. But an alarm does not know if the dose was taken, and it does not tell anyone else when it was not.
Reminder app vs medicine alert agent
| Simple reminder app | Medicine alert agent (Alertiva) | |
|---|---|---|
| Reminds the patient | ✓ | ✓ |
| Knows if the dose was confirmed | Rarely | ✓ Watches every dose, every minute |
| Tells family, nurse or doctor | — | ✓ Step-by-step escalation |
| Checks right patient and right medicine | — | ✓ Barcode scan before giving |
| Extra check for high-alert medicines | — | ✓ Second nurse must confirm |
| Expiry, batch and temperature | — | ✓ Blocks or warns |
| Daily safety report | — | ✓ For doctors, pharmacists and nurses |
How Alertiva works
- Dose watch every minute. The agent finds every dose that is due or missed, for every patient, around the clock.
- Escalation ladder. First the patient is reminded. If the dose is still not confirmed, the nurse or family is alerted, then the doctor, by SMS, WhatsApp, call and email.
- Scan before giving. In care settings, the app scans the patient and the medicine barcode, and the agent answers GO, SECOND CHECK or STOP.
- High-alert double check. High-risk medicines need a second nurse to scan and confirm before they are given.
- Expiry, batch and temperature checks. Expired or wrong-batch medicine is blocked, and unsafe storage temperature triggers a warning.
- Every dosage form. Tablets, capsules, injections, IV, insulin pens, liquids, patches, inhalers and more.
- Daily safety report. Every morning, doctors, pharmacists and nurses in charge get a clear summary.
Three editions for three places
- Alertiva Home for patients and families: reminders, confirmation and alerts to a family member.
- Alertiva Care for care homes and home-care teams: rounds, missed-dose alerts and shift handover.
- Alertiva Clinical for hospitals: barcode checks, high-alert double checks and pharmacy reports.
The mobile app for iPhone and Android is built with Flutter and Supabase, with live views for the patient, family, nurse and pharmacist.
A real moment, step by step
It is 8:00 PM. Insulin is due and not confirmed. The patient gets a reminder first. When there is still no confirmation, the nurse on shift (or a family member at home) is alerted on WhatsApp. If nothing changes, the doctor is told next. Every step, with its time, is in the log and in the next morning's safety report.
Who it is for
- Hospitals that want fewer medication errors and a clear audit trail.
- Care homes and home-care companies with many patients and shifts.
- Pharmacies that want to support patients on long-term medicines.
- Families caring for an elderly parent or a patient with a chronic condition.
Frequently asked questions
Does Alertiva decide doses or give medical advice?
No. Doses and instructions come only from the doctor or pharmacist. Alertiva makes sure they are followed and raises the alarm when they are not.
Does the patient need a smartphone?
The app works best, but alerts can also go by SMS, WhatsApp and phone calls.
Can it work with our hospital system?
It is designed to connect with existing systems, so prescriptions do not have to be typed twice.
When will it be available?
Alertiva is coming soon. You can book a demo now and be among the first to use it.
Prefer to talk? 📅 Book a free 30-minute call at a time that suits you.
Source: World Health Organization, "Adherence to Long-Term Therapies: Evidence for Action" (as reported by UN News).