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PSDA CYCLE DIRECTIONS AND TEMPLATE

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”3/4″][vc_column_text]Plan-Do-Study-Act (PDSA) is a tool used to plan and document your progress with tests of change conducted as part of the improvement process. PDSA can be used when starting a new improvement project, developing a new or improved process, product or service, defining a repetitive work process, implementing any change or working toward continuous improvement. Most improvement projects involve multiple PDSA cycles in order to achieve the aim.[/vc_column_text][vc_column_text]

THREE QUESTIONS FOR IMPROVEMENT

  1. What are we trying to accomplish?
  2. How will we know that a change is an improvement (measures)? Describe the measurable outcome(s) you want to see.
  3. What change we can make that will result in an improvement?
    • Define the processes currently in place and identify opportunities for improvement that exist. Look for causes of problems that have occurred (perform a root cause analysis) or identify potential problems before they occur.
    • Decide what you will change in the process and determine your intervention based on your analysis.

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STEP 1: PLAN

Plan the test of observation, including a plan for collecting data.

  • State the objective of the test. What change are you testing?
  • State the questions you want to answer and make predictions about what will happen and why.
  • Develop a plan to test the change. (Who will be involved? What resources do you need? How long will the change take to implement? What data need to be collected?)
  • Tip: list your action steps along with the individuals responsible and a time line.

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STEP 2: DO

Try out the test on a small scale.

  • Carry out the test
  • Document problems and unexpected observations (any problems and unexpected findings).
  • Collect data you identified as needed during the “plan stage”.
  • Begin analysis of the data (describe what actually happened when you ran the test).

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STEP 3: STUDY

Set aside time to analyze the data and study the results.

  • Complete the analysis of the data.
  • Compare the data to your predictions (determine if the change resulted in the expected outcome).
  • Summarize and reflect on what was learned (note implementation lessons, unintended consequences, surprises, successes, failures).

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STEP 4: ACT

Refine the change, based on what was learned from the test.

  • Based on what was learned from the test:
    • Adapt-determine what modifications should be made.
    • Adopt- consider expanding the changes in your organization to a full scale
    • Abandon- change your approach and prepare a plan for the next PDSA.

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PDSA RESOURCES

Agency for Healthcare Research and Quality

PDSA Directions and Examples

https://www.ahrq.gov/health-literacy/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool2b.html

American Medical Association

Detailed Steps and Downloadable Resources

https://edhub.ama-assn.org/steps-forward/module/2702507?resultClick=1&bypassSolrId=J_2702507[/vc_column_text][/vc_column][/vc_row]