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

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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 3 rd question

Project and PDSA Objectives 1 st question is the project objective PDSA cycle test the strategy to be tried to reach objective (Plan includes objective of each PDSA test)

Objectives need to be SMART Specific Measurable Achievable Realistic Timely

Objectives: Examples Well do better on tests. I will lose weight. Im 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. Im going to run 10 miles per week by July 4. Objective: how good, by when, and for whom!

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

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: Do Try 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

PDSA

Institute for Health Improvement www.ihi.org

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