Nothing important should be missed because a maternity unit is busy.

• 4 clinical actions due in next 15 minutes
• 2 senior reviews outstanding
• 1 patient concern awaiting acknowledgement
• 1 safety-critical action overdue

Conceptual only. Pathscription could combine workflow demand with staffing and acuity information to help teams identify where important work is at risk of delay. This is an operational risk signal, not a prediction of clinical deterioration. This functionality would require clinical validation and integration with approved staffing and maternity systems.

A task stays visible until it is completed

1. Action created
   ↓
2. Responsible clinician notified
   ↓
3. Acknowledgement required
   ↓
4. Still outstanding
   ↓
5. Escalation according to locally configured pathway
   ↓
6. Senior review
   ↓
7. Completion

Escalation rules would be clinically governed and configured by the deploying organisation. Timings shown elsewhere in this prototype are generic and simulated.

Patient has requested discussion of mode of birth.

Simulated example. Pathscription records and tracks the request; the clinical discussion and decision belong to the clinician and the patient.

1. 01Request recordedComplete
2. 02Appropriate clinician notifiedComplete
3. 03Clinical discussion requiredComplete
4. 04Options discussedOutstanding
5. 05Patient preference recordedOutstanding
6. 06Clinical decision recordedOutstanding
7. 07Rationale documentedOutstanding
8. 08Patient informed of planOutstanding
9. 09Conversation completedOutstanding

Patient request remains open until review and communication are documented.

A patient request or concern cannot simply disappear into an informal conversation. Pathscription does not decide clinical management or mode of birth.

• Senior review pendingSafety-critical
  Since 12:05Owner: Dr L. HardyReason: Recorded patient concernStatus: retained
• Patient concern openTime-critical
  Since 13:44Owner: S. PatelReason: Patient reports feeling worseStatus: retained
• Blood result awaiting reviewTime-critical
  Since 13:48Owner: Dr A. OkaforReason: Result returned from labStatus: retained
• Discussion requestedRoutine
  Since 11:30Owner: UnassignedReason: Patient requested discussion of mode of birthStatus: retained
• Follow-up action requiredRoutine
  Since 13:42Owner: S. PatelReason: Scheduled review pointStatus: retained
• Patient support requestTime-critical
  Since 13:05Owner: UnassignedReason: Patient asked to talk to someone about what happenedStatus: retained
• Birth experience discussion requestedRoutine
  Since 13:05Owner: UnassignedReason: Requested by patient — not yet offeredStatus: retained
• Referral awaiting acknowledgementTime-critical
  Since 16:00Owner: S. PatelReason: Receiving service has not confirmed receiptStatus: retained

Emotional wellbeing and recovery items are carried at handover in exactly the same way as physical care items. They do not disappear because the woman has physically stabilised or moved wards. All outstanding actions retain their timestamp, status, priority, reason, owner and history. Important work should survive handovers, shift changes and changes of team.