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PDSA Logbook
PDSA (Plan, Do, Study, Act)Learning from experiencePDSA cycles can be used to try-out a change in behaviour and assess its impact. Every time you finish a PDSA cycle you start a new one to try to improve on what you have done in the previous cycle. In this way it becomes a process of continuous learning and improvement.
Use this PDSA Log Book when you want to try something new to improve your communication with children or young people.
When you are studying how it went remember that learning from the changes that don’t go well are often even more useful than the changes that work.
This PDSA Log Book is adapted from the Evidence Based Practice Unit (EBPU): www.annafreud.org/pages/ebpu-home.html. We would like to thank them for their support with this project. EBPU is part of University College London and the Anna Freud Centre.
Y
NH
AV
E W
E FO
UN
D A
WA
Y FO
RW
AR
D T
OG
ETH
ER?
How
do
I kno
w t
hat
you
wan
t to
list
en t
o m
e?
Show
me
that
you
wan
t to
list
en t
o m
eIn
trod
uce
your
self
to
me
firs
t #H
ello
myn
amei
sG
ive
me
an o
verv
iew
of t
he k
ey s
tep
s of
the
con
vers
atio
n If
my
par
ents
are
wit
h m
e •
Let
me
know
tha
t yo
u w
ant
to h
ear
from
me
firs
t an
d th
en m
y p
aren
ts s
o w
e al
l
know
tha
t w
e w
ill b
e he
ard
• C
heck
whe
ther
I w
ant
to s
pea
k to
you
alo
ne
Wha
t ar
e m
y ch
oice
s?
Ensu
re I
unde
rsta
nd t
he c
hoic
es a
vaila
ble
to m
e an
d th
eir
pros
and
con
sSh
are
info
rmat
ion
wit
h m
e ab
out
my
opti
ons
Ask
me
abou
t w
hat
I thi
nk c
ould
hel
pR
emem
ber
ther
e ar
e al
way
s ch
oice
s•
Op
tion
s ab
out what
can
hap
pen
• O
pti
ons
abou
t how
thi
ngs
can
hap
pen
Talk
wit
h m
e ab
out
the
pro
s an
d co
ns o
f my
diff
eren
t op
tion
s
Why
am
I he
re?
Hel
p us
all
(you
, me
and
my
pare
nts)
to
get
a sh
ared
un
ders
tand
ing
of w
hy I
am h
ere,
my
goal
s, a
nd w
hat
the
prob
lem
is
Find
out
why
I th
ink
I am
her
e –
ask
me
firs
t an
d th
en m
y p
aren
ts
Ask
me
abou
t al
l of m
y co
ncer
ns, a
bout
my
life
and
not
just
my
co
ndit
ion
or s
ymp
tom
s.
Exp
lain
to
me
why
I am
see
ing
you
spec
ific
ally
and
wha
t yo
ur e
xper
tise
isTa
lk w
ith
me
abou
t w
hy y
ou t
hink
I’m
her
eSh
are
info
rmat
ion
wit
h m
e to
hel
p m
e to
und
erst
and
my
heal
th
How
do
you
know
wha
t is
imp
orta
nt t
o m
e?
Expl
ore
my
view
s an
d pr
efer
ence
s A
sk m
e •
wha
t I t
hink
wou
ld w
ork
best
for
me
and
my
life
• ab
out
my
belie
fs o
r ex
pec
tati
ons
abou
t m
y he
alth
• if
the
re is
any
thin
g I’m
wor
ried
or
unsu
re a
bout
Find
out
my
hop
es, a
ims
and
goal
s as
the
se w
ill in
flue
nce
my
choi
ces
Dis
cuss
whe
ther
my
choi
ces
will
hel
p m
e to
ach
ieve
the
se g
oals
A
ckno
wle
dge
and
resp
ond
to m
y id
eas,
feel
ings
, and
val
ues
Wha
t de
cisi
on h
ave
we
mad
e?
Hel
p us
all
to
reac
h a
shar
ed a
gree
men
t on
ke
y pr
oble
ms,
pla
ns, a
nd w
hat
is g
oing
to
happ
en n
ext
Che
ck t
hat
we
all a
gree
on
wha
t is
goi
ng t
o ha
pp
en
Che
ck t
hat
we
all a
gree
on
how
it w
ill h
app
en
Che
ck h
ow a
ble
I fee
l to
foll
ow t
he p
lan
Che
ck w
hen
we
will
nex
t re
view
our
dec
isio
n to
geth
er
Wha
t w
ill h
app
en n
ext?
Sum
mar
ise
the
conv
ersa
tion
, che
ck o
ur u
nder
stan
ding
, an
d he
lp m
e to
rem
embe
r Su
mm
aris
e an
d ch
eck
• Th
at w
e ha
ve c
over
ed e
very
thin
g
• If
I ha
ve a
ny q
uest
ions
• Th
at I
know
wha
t I n
eed
to d
o an
d lo
ok o
ut fo
r
• Th
at I
am c
lear
abo
ut w
hat
to e
xpec
t ne
xt, w
hat
to d
o if
som
ethi
ng d
iffe
rs fr
om t
he
ag
reed
pla
n an
d ho
w a
ny c
hang
es w
ill b
e co
mm
unic
ated
wit
h m
e
• W
hat
will
hel
p m
e to
rem
embe
r th
is c
onve
rsat
ion?
mef
irst
.org
.uk
in
fo@
mef
irst
.org
.uk
#
CYP
Mef
irst
Do
Study
How did I do it? What did I do if different from my plan?
How did it go and what did I learn?
ActGiven what I have learnt, what will I try next?
Plan
Your scenario Date
What one thing do I want to try?
Example PDSA cycle
Freddie spoke more than he has before which was great, but even though I was looking at Freddie and talking directly to him, his mum kept on answering for him.
I sat next to Freddie during the meeting so I could look at him directly when asking questions.
Next time, I will open the conversation by explaining that it is important for me to hear from Freddie and his mum. I will say something like “I will speak to Freddie fi rst and then Mum you will get an opportunity to speak second”. I hope this will reassure mum that she will also have time to talk.
When I meet with Freddie on Friday I will make sure he is included in the conversations more.
I will sit next to him so that I can look directly at him to show him I want to hear from him
Freddie (12yr old boy) who I see in clinic doesn’t engage in conversations during meetings and mum speaks a lot on Freddie’s behalf. I want to hear more from Freddie and his thoughts on things during our meetings.
4 5 1 5
Do
Study
How did I do it? What did I do if different from my plan?
How did it go and what did I learn?
ActGiven what I have learnt, what will I try next?
Plan
Your scenario Date
What one thing do I want to try?
Plan, Do, Study, Act
Do
Study
How did I do it? What did I do if different from my plan?
How did it go and what did I learn?
ActGiven what I have learnt, what will I try next?
Plan
Your scenario Date
What one thing do I want to try?
Plan, Do, Study, Act
Do
Study
How did I do it? What did I do if different from my plan?
How did it go and what did I learn?
ActGiven what I have learnt, what will I try next?
Plan
Your scenario Date
What one thing do I want to try?
Plan, Do, Study, Act
Do
Study
How did I do it? What did I do if different from my plan?
How did it go and what did I learn?
ActGiven what I have learnt, what will I try next?
Plan
Your scenario Date
What one thing do I want to try?
Plan, Do, Study, Act
Do
Study
How did I do it? What did I do if different from my plan?
How did it go and what did I learn?
ActGiven what I have learnt, what will I try next?
Plan
Your scenario Date
What one thing do I want to try?
Plan, Do, Study, Act
Do
Study
How did I do it? What did I do if different from my plan?
How did it go and what did I learn?
ActGiven what I have learnt, what will I try next?
Plan
Your scenario Date
What one thing do I want to try?
Plan, Do, Study, Act
Do
Study
How did I do it? What did I do if different from my plan?
How did it go and what did I learn?
ActGiven what I have learnt, what will I try next?
Plan
Your scenario Date
What one thing do I want to try?
Plan, Do, Study, Act
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