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This document provides a template for conducting Plan-Do-Study-Act (PDSA) cycles to test changes aimed at improving processes as part of a performance improvement project. The template guides the user to plan a small test of change by identifying measures, predicting outcomes, and collecting data. It then prompts documenting observations from testing the change and analyzing results to determine if the change resulted in the expected improvement. Based on lessons learned, the next PDSA cycle is adapted, adopted, or abandoned.

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0% found this document useful (0 votes)
151 views3 pages

Pdsacycledebedits PDF

This document provides a template for conducting Plan-Do-Study-Act (PDSA) cycles to test changes aimed at improving processes as part of a performance improvement project. The template guides the user to plan a small test of change by identifying measures, predicting outcomes, and collecting data. It then prompts documenting observations from testing the change and analyzing results to determine if the change resulted in the expected improvement. Based on lessons learned, the next PDSA cycle is adapted, adopted, or abandoned.

Uploaded by

budiman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PDSA Cycle Template

Directions: Use this Plan-Do-Study-Act (PDSA) tool to plan and document your progress with tests of change
conducted as part of chartered performance improvement projects (PIPs). While the charter will have clearly
established the goals, scope, timing, milestones, and team roles and responsibilities for a project, the PIP team
asked to carry out the project will need to determine how to complete the work. This tool should be
completed by the project leader/manager/coordinator with review and input by the project team. Answer the
first two questions below for your PIP. Then as you plan to test changes to meet your aim, answer question 3
below and plan, conduct, and document your PDSA cycles. Remember that a PIP will usually involve multiple
PDSA cycles in order to achieve your aim. Use as many forms as you need to track your PDSA cycles.

Model for Improvement: Three questions for improvement


1. What are we trying to accomplish (aim)?
State your aim (review your PIP charter and include your bold aim that will improve resident health
outcomes and quality of care)

2. How will we know that change is an improvement (measures)?


Describe the measureable outcome(s) you want to see

3. What change can we make that will result in an improvement?

Define the processes currently in place; use process mapping or flow charting

Identify opportunities for improvement that exist (look for causes of problems that have occurred
see Guidance for Performing Root Cause Analysis with Performance Improvement Projects; or identify
potential problems before they occur see Guidance for Performing Failure Mode Effects Analysis with
Performance Improvement Projects) (see root cause analysis tool):
Points where breakdowns occur
Work-a-rounds that have been developed
Variation that occurs
Duplicate or unnecessary steps

Decide what you will change in the process; determine your intervention based on your analysis
Identify better ways to do things that address the root causes of the problem
Learn what has worked at other organizations (copy)
Review the best available evidence for what works (literature, studies, experts, guidelines)
Remember that solution doesnt have to be perfect the first time

Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance.
Plan List your action steps along with person(s) responsible and
What change are you testing with time line.
the PDSA cycle(s)?
What do you predict will happen and
why?
Who will be involved in this PDSA?
(e.g., one staff member or resident,
one shift?). Whenever feasible, it
will be helpful to involve direct care
staff.
Plan a small test of change.
How long will the change take to
implement?
What resources will they need?
What data need to be collected?

Do Describe what actually happened when you ran the test.


Carry out the test on a small scale.
Document observations, including
any problems and unexpected
findings.
Collect data you identified as
needed during the plan stage.

Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance.
Study Describe the measured results and how they compared to the
Study and analyze the data. predictions.
Determine if the change resulted in
the expected outcome.
Were there implementation
lessons?
Summarize what was learned. Look
for: unintended consequences,
surprises, successes, failures.

Act Describe what modifications to the plan will be made for the
Based on what was learned from the test: next cycle from what you learned.
Adapt modify the changes and
repeat PDSA cycle.
Adopt consider expanding the
changes in your organization to
additional residents, staff, and units.
Abandon change your approach
and repeat PDSA cycle.

Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance.

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