Week 6: PDSA Cycles of Learning

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Week 6 PDSA Cycles of Learning
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Applying the Theory of Knowledge using The
Model for Improvement
Changes are systematized into daily work or
re-collect data to monitor improvement assess
effectiveness of original workplan
Select a solution to pilot test
1. Plan
4. Act

• What are we trying accomplish?
• How will we know that a change is an improvement?
  
• What change can be made that will result in
  improvement?

2. Do
3. Study
Project team implements pilot test then measures
and assesses the impact.
Project team evaluates results with key
stakeholders
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Using PDSA cycles to test and implement a change
Referencing the article Edmonds, Joann, Zagami,
Maryann. QI Team Shares Ownership and Gets
Results. JHQ September/October 1992.Vol 14,
No.5
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Modified from Edmonds, Joann, Zagami, Maryann.
QI Team Shares Ownership and Gets Results. JHQ
September/October 1992.Vol 14, No.5
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• Reasons for Placement Delay
• Availability of beds
• Behavior problems
• Finances
• Legal issues
• Medical (return to acute care)
• High nursing care needs
• Problems with responsible party (family)

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The Model for Improvement the PDSA Cycle

• Plan
• Hold placement meeting every Wednesday
• Data to collect
• of patients awaiting placement, tracked by
  social services
• Reasons for delayed placement on a bar graph

Plan
Act
Study
Do
Do
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The Model for Improvement the PDSA Cycle
Do Ran the test as described in Plan for 2
months
Plan
Act
Study
Do
Do
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The Model for Improvement the PDSA Cycle
Study The data showed that the weekly meeting
was effective in reducing discharge delays
Act
Plan
Study
Do
Do
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The Model for Improvement the PDSA Cycle
Act The QI team decided to make the weekly
conference a permanent step in the discharge
process.
Act
Plan
Study
Do
Do
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Principles for Testing a Change

• Build knowledge sequentially
• Test on a small scale
• Use multiple cycles

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Reading assignment can be found under the
Assignment button in BlackBoard