Plan | Do | Study | Act | |
PDSA 1 | To introduce the OTAS and apply it to only one shift reporting to obstetric triage (2 February to 8 February 2020). | The team spent 1 week studying the maternal and fetal outcomes after applying the OTAS for triaging of emergency obstetric patients initially only in the afternoon shift of 14:00–22:00. | The scale was easy to use, reduced patient waiting time, and by the end of 1 week, the proportion of women correctly triaged had risen to 65%. | Based on the positive feedback, it was decided to apply the scale to all patients coming to triage. |
PDSA 2 | Spread the application of the scale to all patients reporting to obstetric triage in all shifts (9 February to 22 February 2020). | The application of OTAS was expanded to all the patients reporting to triage in all the shifts for 2 weeks. | There was sustained application and improvement in outcomes, and the proportion of women correctly triaged had risen to 75%. | Retain scale introduction to all patients. |