Pathscription does not make the clinical decision. It makes sure the work around that decision does not disappear.
Nothing missed.
Nothing unheard.
Tell us once.
Close the loop.
Nothing missed
Important work remains visible until it is completed.
Nothing unheard
Patient and family concerns become accountable workflow signals.
Tell us once
Important context follows the patient across clinicians and teams.
Close the loop
The system tracks what happens after a decision, request, referral, intervention or promise.
6
Open work
2
Unowned
2
Unacknowledged
1
Waiting items
1
Patient concerns
2
Follow-up after intervention
1
Post-discharge actions
87%
Completion rate — simulated
Prototype workflow metric — not a clinical outcome.
I’m waiting for…
If somebody said something would happen, Pathscription can track whether it did.
Closed-loop workflow
Patient reports waiting → Verify → Identify responsible team → Assign → Acknowledge → Action → Patient updated → Complete
- 11:42Patient reports waiting for senior review
- 11:44Review request identified
- 11:45Assigned to obstetric team
- 11:49Acknowledged
- 12:03Clinician review completed
- 12:06Patient updated
- 12:07Workflow complete
Illustrative timings only.
Don’t make the patient chase the system.
When a member of staff says “I’ll come back.” “We’ll arrange a review.” “I’ll ask the doctor.” “We’ll refer you.” “Someone will speak to you.” that promise can become tracked workflow.
Promise made
“Senior clinician will return to discuss birth plan.”
- Recorded: 11:04
- Owner: Obstetric team
- Status: OPEN
You are waiting for: Senior clinician discussion
The team has been reminded — you do not need to chase this.
Promise made
“Psychological support referral will be confirmed with the receiving service.”
- Recorded: 13:20
- Owner: Sarah Patel · Maternity support
- Status: OPEN
You are waiting for: Confirmation of support referral
Illustrative demo logic only — no timing is promised unless recorded by staff.
Mode of birth
COMPLETE- What was discussedPrevious birth experience and options for this birth
- Options presentedYes — vaginal birth and planned Caesarean discussed
- What the patient said she wantedPlanned Caesarean discussion requested
- Clinical decision recordedPlanned Caesarean documented (simulated)
- WhyPatient preference following discussion of previous birth experience
- Who had the discussionDr Alex Morgan · Obstetric clinician
- When2 March, 14:20 (simulated)
- Patient says she understandsYes
- Unanswered questionsNone recorded
- Plan changed laterNo
Anaesthetic approach
OPEN- What was discussedRegional anaesthesia for planned Caesarean
- Options presentedPartly — discussion started, not completed
- What the patient said she wantedPatient has stated she is frightened about the anaesthetic
- Clinical decision recordedNot yet documented
- WhyAwaiting completed anaesthetic discussion
- Who had the discussionAnaesthetic team
- WhenScheduled — simulated
- Patient says she understandsUnknown
- Unanswered questionsPatient has questions outstanding
- Plan changed latern/a
Do you understand this decision?
Do you feel you understand the plan?
Do you have questions that have not been answered?
Do you feel your preference was heard?
Decision tracking supports communication and documentation. It does not replace formal consent processes.
- Previous plan: Planned Caesarean at 39 weeks — simulated
- New / proposed plan: Planned Caesarean brought forward to 38+3 — simulated
- Reason: Simulated scheduling change recorded by the obstetric team
- Patient informedNO
- Reason documentedYES
- Review completedNO
- Patient questions addressedNO
- Patient preference updatedNO
Status: Communication outstanding
This never prevents clinicians changing care when clinically appropriate. A meaningful plan change simply creates a communication and documentation workflow.
- Decision made?YES
- Patient informed?NO
- Patient understands next step?UNKNOWN
- Questions answered?NO
Communication loop open
Shown in Needs attention now where configured. Communication workflow only.
- ✓ MidwiferyCurrent care reviewed · Anna Lewis
- ! ObstetricsSenior review outstanding
- ! AnaestheticsCare context reviewed · Anaesthetic team
- ! Emotional wellbeingAssessment outstanding
- ○ Perinatal mental health / supportNo pathway involvement recorded
- ! Postnatal follow-upNo owner assigned
- ○ Neonatal teamNot required in this fictional scenario
Pathscription does not determine which specialties are clinically required. This shows clinically agreed pathway involvement and outstanding actions.
Emotional wellbeing support
- Pathway involvement: Agreed
- Referral / discussion not actioned
- Owner: No owner
- Status: OUTSTANDING
Anaesthetic review
- Pathway involvement: Requested
- Review not completed
- Owner: Anaesthetic team
- Status: AWAITING ACKNOWLEDGEMENT
Workflow gap signal only — Pathscription does not decide which specialties are required.
- Current coordinating role: Labour ward coordinator
- Named clinician: Anna Lewis
- Shift: 08:00–20:00 simulated
- Status: ACTIVE
Individual actions may have different owners. The care coordinator provides an identifiable point of coordination for the overall pathway.
What matters to this patient today
- “I am very anxious about the anaesthetic.”
- “Please explain what is happening before touching me.”
- “I want my husband with me for important conversations.”
- “I do not want to have to recount my previous birth again.”
Patient-stated priorities — not clinical instructions.
Shown before routine secondary information at: Antenatal appointment · Admission · Labour ward · Anaesthetic view · Theatre handover · Recovery · Postnatal ward · Discharge planning.
- Important care context transferred?YES
- Open concerns transferred?YES
- Birth preferences visible?YES
- Current plan visible?YES
- Open tasks transferred?YES
- New owners assigned?OUTSTANDING
- Patient understands next step?OUTSTANDING
- Patient knows who to contact?YES
- Support / referrals carried forward?YES
2 outstanding items
Illustrative workflow check. It never blocks or delays clinically necessary care.
- Important contextAVAILABLE
- What matters todayAVAILABLE
- Current planAVAILABLE
- Patient preferencesAVAILABLE
- Open concerns1
- Open actions2
- Previous team handoverRECEIVED
Start with her, not the screen
- 1. Read what matters to her
- 2. Review open concerns
- 3. Review existing plan
- 4. Avoid unnecessary repetition
- 5. Introduce yourself and explain your role
Illustrative workflow guidance, not mandatory clinical instruction.
Important for the next team
- Sophie is frightened about the anaesthetic.
- Anaesthetic discussion: still outstanding.
- She does not want to recount her previous birth again.
- Care summary: available.
- Birth partner: present.
- Current question: “What happens if the plan changes?”
- What she is worried aboutThe anaesthetic
- What she finds difficultRepeating her previous birth story
- What she is waiting forSenior clinician discussion
- What has been promisedObstetric clinician will return
- What she understandsThe agreed plan is a planned Caesarean
- What she does not understandWhat happens if the plan changes
- What matters todayExplanations before anything is done
- Open support needsEmotional wellbeing discussion
No silent handover
- Clinical tasks transferredYES
- Patient concerns transferredYES
- Important context transferredYES
- Promises / waiting items transferredYES
- Patient informed of new teamNO
Patient communication outstanding
Whether the patient’s voice is surviving the system — not just clinical events.
- 08:00Care context active
- 08:05Midwife reviewed context
- 09:10Obstetric clinician reviewed context
- 10:15Birth plan updated
- 10:18Patient informed
- 11:05Anaesthetic clinician reviewed context
- 12:20Patient raised new concern
- 12:22Concern assigned
- 12:28Concern acknowledged
- 13:10Patient updated
Simulated timings.
Did the workflow continue after the intervention?
- 1Patient reports a symptom
- 2Assessment requested
- 3Clinician reviews
- 4Intervention / clinical decision recorded
- 5Reassessment required
- 6Patient response recorded
Did this help?
An intervention is not necessarily the end of the workflow. Pathscription can track whether reassessment happened.
Configurable areas: Pain, Nausea, Anxiety / distress, Mobility, Feeding support, Wound concerns, Medication effect, Other clinically configured areas. No clinical thresholds are applied and no treatment advice is given.
Unexpected emergency intervention — fictional
- Physical recovery reviewSCHEDULED
- Explanation offeredYES
- Birth experience discussionREQUESTED
- Patient questionsOUTSTANDING
- Emotional wellbeingOUTSTANDING
- Support discussionPENDING
- Support referralPENDING
- Medication / treatment follow-upNOT REQUIRED
- Postnatal reviewNOT CONFIRMED
- Community follow-upNOT CONFIRMED
- Outstanding investigations / resultsNONE
Owner: Maternity follow-up team · Status: OPEN
Illustrative workflow logic only. Pathscription does not diagnose, recommend treatment or judge clinical urgency.
Open work · 2 items remain
- 1. Birth experience discussion requestedOwner: Postnatal follow-up team
- 2. Psychological support referral awaiting confirmationOwner: Sarah Patel
Outstanding workflow persists beyond discharge. This never clinically blocks discharge.
Prescribing
One clinical task.
Maternity
Many interconnected clinical and communication tasks.
Same orchestration engine.
Illustrative workflow logic only. Pathscription does not diagnose, recommend treatment or judge clinical urgency. All patients, timings and escalation logic are fictional demonstration data. Heard & held →