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Hunches, theories, and ideas

General Approach to Ongoing PDSA Cycles. Changes that result in improvement. D. P. S. S. A. D. A. A. P. S. P. P. A. D. D. Hunches, theories, and ideas. S. D. D. D. P. P. P. S. S. S. A. A. A. S. S. S. D. D. D. A. A. A. P. P. P. A. A. A. S. P. S.

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Hunches, theories, and ideas

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  1. General Approach to Ongoing PDSA Cycles Changes that result in improvement D P S S A D A A P S P P A D D Hunches, theories, and ideas S

  2. D D D P P P S S S A A A S S S D D D A A A P P P A A A S P S S P P D D D P P P A A A D D D S S S Sedation Usage Family Discussion Ventilator Weaning Several PDSA Cycles to Tackle One Problem

  3. Essential Areas of Expertise in a Good Team System Day-to-day Technical

  4. Spread the Word: Improvement Throughout the System Spread the Word: Improvement Throughout the System Oncology Oncology Out-Patient ICU Pain Management Medical-Surgical Units

  5. Algorithm Standard Worst Pain Scores: Algorithm vs. Standard Care 6.5 6 5.5 5 Worst pain 4.5 4 3.5 Baseline 2 Weeks 1 Month 2 Months 3 Months Assessment time point Reprinted with permission, DuPen, 1999

  6. Pain Assessment Scales Wong/Baker Faces Descriptive Scale No Pain Least Pain Mild Pain Moderate Pain Severe Pain Excrutiating Pain Numerical Scale 0 10 1 2 3 4 5 6 7 8 9

  7. Primary care Specialists Home care Interdisciplinary Day Health Nursing Social service OT/PT Nutrition Recreation Personal care Transportation Nursing Home Participants/ Caregivers Team Hospital Lab/X-ray/Pharmacy Coordinated Care Model, PACE Reprinted with permission of the National PACE Association, San Francisco, CA

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