Rapid change cycles that were applied during the months of May–June
| Letter on the run chart (figure 1) | Implementation date | Improvement |
| A | May 16 | Reorganisation of intravenous carts. Separation of paediatric and adult intravenous. Placed large-bore intravenous in visible and accessible locations and relabelled the carts to enhance visibility. |
| B | May 18 | Discussed the topic with groups of ED nurses at Wednesday morning huddles. |
| B | May 18 | Educational posters #1 and #2 displayed. |
| C | May 18–30 | 1:1 discussions with ED nursing staff. |
| D | May 19 | Educational poster #3 placed at nursing stations following feedback from frontline staff. |
| E | May 20 | Conversations and written reminders to frontline staff and physician groups, including staff and residents. |
| F | May 30 | Discussed at the trauma team leader (ED physician and surgeons) retreat by the trauma director. |
| G | May 31 | Second intravenous chart organised and labelled. |
| H | June 6 | Posters #4 and #6 were introduced and demonstrated educational tips and prompts with regards to other options available if a large-bore intravenous cannot be obtained, that is, cortice, IO access. |
ED, emergency department; IO, intraosseous.