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Using PDSA Cycles for Quality Management. Brazos Valley Council of Governments July 2010. The PDSA Cycle . Using information from the Data Review Activity, or an example from your own agency, identify a quality issue needing improvement. What improvement should be made?

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Using PDSA Cycles for Quality Management


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using pdsa cycles for quality management

Using PDSA Cycles for Quality Management

Brazos Valley Council of Governments

July 2010

the pdsa cycle
The PDSA Cycle
  • Using information from the Data Review Activity, or an example from your own agency, identify a quality issue needing improvement.
    • What improvement should be made?
    • How will you implement these changes?
    • How will you know the changes were effective/brought about the change you wanted?
the pdsa cycle3
The PDSA Cycle

The PDSA Cycle

slide4
Plan
  • Clarify your Objective
  • Make a prediction
    • Formulate theory
    • Objective + specificity
  • What is to be done
    • Who
    • What
    • Where
    • When
    • How

The PDSA Cycle

plan a new adherence screening tool
Plan: a New Adherence Screening Tool
  • Objective: Determine how we can screen HIV patients for issues that might affect their ability to adhere to their medication regimen, in a way that won’t disrupt patient flow
  • Prediction: Adding a screening tool will allow us to document % adherence rate for all patients, while adding only 5 minutes to the average patient visit.
  • Steps: Joanne and Sally researched and identified possible tools that were reviewed by Sally and Dr. Smith. They selected one tool for Dr. Smith to use with at least three patients in the clinic on Thursday
  • Necessary tasks: 1. Identify tool. 2. Copy tool and place in patients' charts. 3. Dr. Smith will review instructions for using tool. 4. Explain tool to patient. 5. Use tool

The PDSA Cycle

slide6
Do
  • Carry out the plan
  • Document your observations
    • Expected
    • Unexpected
  • Begin analysis

The PDSA Cycle

do what happened
Do: What Happened?
  • Tool was used on one patient
  • Administration took 5 pages
  • Added 35 minutes to documentation

The PDSA Cycle

study
Study

Complete Analysis

Compare to Predictions

Summarize Results

The PDSA Cycle

study our results vs our prediction
Study: Our Results (vs. Our Prediction)
  • Theory still holds
  • Need to test more tools to identify one that will work in our clinic
  • Therefore…

The PDSA Cycle

slide10
Act
  • Adjustments
    • Changes to previous test?
    • What adjustments?
    • Expand last cycle?
  • New cycles
    • What are you planning?
    • What are you going to test?

The PDSA Cycle

act what will we do based on what we learned
Act: What Will We Do (Based on What We Learned)?

We will test two different tools, each with three patients, by next Wednesday.

The PDSA Cycle

key points
Key Points

The PDSA cycle:

  • Helps “test your hunches”
  • Adapt these changes to your own environment.
  • Start small
  • Lead to more complex cycles

Key Points

references and resources
References and Resources
  • National Quality Center, Quality Academy http://www.nationalqualitycenter.org/QualityAcademy/
  • Texas Department of State Health Services, AA Review Tool http://www.dshs.state.tx.us/hivstd/fieldops/EvalTools.shtm
  • Institute of Medicine, Crossing the Quality Chasm: The IOM Health Care Quality Initiative, http://www.iom.edu/CMS/8089.aspx