EXAMPLES OF WATER FLUORIDATION PDSA CYCLES

1. EXAMPLES OF WATER FLUORIDATION PDSA CYCLES

2. “P” = PLAN “What is your family’s drinking water source?”

3. AIM • Determine if drinking water has a safe and adequate amount of fluoride. • MEASUREMENT: DEPENDS ON SOURCE • Well: DHEC measure level • Municipal: http://apps.nccd.cdc.gov/MWF/Index.asp • Purchased: Provider supplies level

4. “D” = DO • 1. Pick target % for posing topic question to family • 2. Select study patient ages and cycle time length • 3. Educate staff • 4. Sign in office staff flags candidate visit • 5. Nurse rooms patient and notes flag • 6 Nurse audits record: no previous discussion • 7. Nurse asks topic question • 8. Nurse determines Fl content (slide 3) • 9. Provider comments on Fl level • 10. Provider makes water/fl recommendation • 11. Family leaves

5. “S” = STUDY 1. Tabulate # of qualifying routine exams done during study period 2. Tabulate # of exams where steps 6-9 were completed 3. Calculate % completed for each step 4. Discuss with staff and decide countermeasures to improve % on next cycle

6. “A” = ACT • Decide on new plan to improve oral fluoride use: EXAMPLES TO CONSIDER: • Place picture of tooth on all qualified charts to remind staff of PDSA cycle • Inquire about water filtration devices • Do out of home bottled water use assessment • Calculate estimated fluoride burden from all sources (e.g. diet, toothpaste, water, fl treatments)

7. Reminder! Ask the PDSA question