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Setting Up Your First PDSA

Setting Up Your First PDSA. PDSA. What change will you implement by next Tuesday ?. PDSA Testing Change. Plan- a specific planning phase Do- a time to try the change and observe what happens Study- an analysis of the results of the trial Act- devising next steps based on analysis

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Setting Up Your First PDSA

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  1. Setting Up Your First PDSA

  2. PDSA What change will you implement by next Tuesday?

  3. PDSA Testing Change • Plan- a specific planning phase • Do- a time to try the change and observe what happens • Study- an analysis of the results of the trial • Act- devising next steps based on analysis • Berwick, Boushon,& Roessner, 2007

  4. Rapid Cycle Testing AIM:State your overall goal you would like to reachExample: By March 31, 2009 we will have reduced undocumented and unintentional discrepancies by 75% or greater of baseline on Medical Unit #1.

  5. Plan

  6. Plan

  7. Completing Test of Change • Do: Describe what actually happened when you ran the test • The protocol failed to account for poor historians so more collateral information was required. • Study: Describe the measured results and how they compared to the predictions • Guideline and form need revisions based on RNs feedback, there were 2 undocumented intentional and 2 unintentional discrepancies. The team leader suggested improvements for the BPMH form • Act: Describe what modifications to the plan will be made for next time. • The guideline and form will be modified, and another test planned with the next resident admitted on September 15

  8. Rapid Cycle Change As you move thru cycles increase size of the test: • 1 Resident, 1 RN, 1Pharmacist, 1 Physician • 2 Residents, 2 RNs, 1Pharmacist, 1 Physician • 5 Residents, 2 RNs, 1Pharmacist, 1 Physician • 25 Residents, 10 RNs, 2Pharmacist, 3 Physician

  9. A A A A P P P P S S S S D D D D Testing to Implementing Changes Result in Improvement Learning From Data Implementation of Change Wide Scale tests of change Follow up tests Change Ideas Very Small test

  10. Rapid Cycle Change • Initiation of Rapid Cycle tests is dependent on getting the first test of change started • Do Not try to Perfect the change then implement…consider your work a masterpiece in progress • Failure is a great Opportunity to plan to do better next time… • Frequency of Testing determines the speed of the process improvement ie daily testing = improvement in weeks; weekly = improvement in 3-4 months

  11. Exercise • Select a change idea • Complete the Plan • Conduct the test in your work setting • Complete the Do, Study, Act sections • Post your PDSA worksheet to the Community of Practice

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