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What makes a ‘good’ PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

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Page 1: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

What makes a ‘good’ PDSA

Alison BrownProject Manager, Clinical Governance Project

Victorian Healthcare Association

Page 2: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

IHI Model for Improvement

• Three fundamental questions

• PDSA cycle provides a way of testing change ideas arising from the 3rd question

Page 3: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

Project and PDSA Objectives

• 1st question is the project objective

• PDSA cycle test the strategy to be tried to reach objective(Plan includes objective of each PDSA test)

Page 4: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

Objectives need to be SMART• Specific• Measurable• Achievable• Realistic• Timely

Page 5: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

Objectives: Examples

We’ll do better on tests.

I will lose weight.

I’m going to exercise more often

Every member of our study group will increase his or her grade point average by 10 percent within eight months.

I will weigh 160 pounds by February 1.

I’m going to run 10 miles per week by July 4.

Objective: how good, by when, and for whom!

Page 6: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

Measurement at 2 levels

• Project-level measures - answer the second fundamental question (evaluate the overall project objective )

• PDSA-level measures - data to evaluate the strategies tested in each of the linked PDSA cycle

• Measures may be different to measure project objective and PDSA tests

Page 7: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association
Page 8: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

Step 1: Plan Plan the test or observation, including a plan for collecting data. State the objective of the test. State the questions you want to answer and make predictions about what will happen and why. Develop a plan to test the change. (Who? What? When? Where? What data ?)

Step 2: DoTry out the test on a small scale. Carry out the test. Document problems and unexpected observations. 

Step 3: Study Set aside time to analyze the data and study the results.Complete the analysis of the data.  Compare the data to your predictions.Summarize and reflect on what was learned.

Step 4: Act Refine the change, based on what was learned from the test. Determine what modifications should be made.Prepare a plan for the next PDSA

PDSA – test not a task

Page 9: What makes a good PDSA Alison Brown Project Manager, Clinical Governance Project Victorian Healthcare Association

PDSA

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• Institute for Health Improvement

• www.ihi.org