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Enhancing Quality Care: PDSA Worksheets for Pressure Ulcers and Falls

This session provides tools and resources for documenting tests of change using the PDSA (Plan-Do-Study-Act) framework. Focused on pressure ulcers and falls, participants will evaluate and refine their Aim Statements, develop change concepts, and prepare actionable plans. Utilize worksheets to structure your ideas, explore theories predicting improvement, and receive feedback from peers. This collaborative exercise emphasizes effective communication and iterative testing in healthcare improvement projects. Enhance your approach to quality care and strengthen outcomes in your initiatives.

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Enhancing Quality Care: PDSA Worksheets for Pressure Ulcers and Falls

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  1. Virtual SessionsTrack 1 Worksheets Prepared and Presented by Institute for Healthcare Improvement Faculty

  2. PDSA Worksheet • Use this to document individual tests. • Remember: It’s not a test if you don’t actually change some aspect of the process!

  3. Exercise: Aim Statement • Our focus will be on Pressure Ulcers and Falls. • So, take a few minutes and evaluate your current Aim Statements. Review them for clarity, performance expectations, and completion date. • If you have started work on a new HAC or are revising your work plan, take this opportunity to create new Aim Statements or modify existing ones. • Use the Aim Statement Worksheet to create or revisit your an Aim Statement.

  4. Aim Statement Worksheet HAC name: Aim statement (What’s the problem? Why is it important? What are we going to do about it?) How good? By when?

  5. Change Concepts The Improvement Guide contains an Appendix (Appendix A: A Resource Guide to Change Concepts) that describes in detail how 72 change concepts can be used to create ideas for testing.

  6. Exercise:Developing Change Concepts • Develop several Change Concepts and Ideas to Test for your project. • Use the Developing Ideas for Change Worksheetto record your ideas. • Be sure to explore your theories and predictions about each change concept with those at your table. • Spend 5 -10 minutes on this exercise.

  7. Developing Ideas for Change Work Area or Project: ____________________________ Discussion Questions: • What specific change concepts and related ideas will achieve the Aim? • What theories and predictions can you make about how these change concepts and ideas will cause improvement? • Use Force Filed Analysis to evaluate the ideas

  8. ExercisePlan Your First (next) PDSA • Use your Aim Statement, Driver Diagram, Measurement Plan Worksheet and your Developing Ideas for Change Worksheet as reference materials for this exercise. • Select one idea from your Developing Ideas for Change Worksheet as an initial test of change. • Complete the Plan section of the PDSA Worksheet • Get feedback on your work from others at your table and be prepared to report your plan to the class.

  9. PDSA Worksheet • Use this to document individual tests. • Remember: It’s not a test if you don’t actually change some aspect of the process!

  10. PDSA Worksheet • Use this to document individual tests. • Remember: It’s not a test if you don’t actually change some aspect of the process!

  11. Factors that Determine Success

  12. Implementation Checklist (Source: Langley, J. et. al. The Improvement Guide, page 136)

  13. Profound Knowledge Worksheet

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