ANALYSE AND RESPOND
STEP 7: ANALYSE AND RESPOND
As well as collecting data it is important to pause as a team to analyse the data you have collected so you can note changes or trends as they start to appear. Unlike larger more traditional research projects, quality improvement models recommend that changes are introduced on a small scale and built on as the team begins to measure and review the changes that have put in place. This often means that a quality improvement project will have a number of PDSA CYCLES.
PDSA stands for Plan – Do – Study – Act. This describes how you should approach your QI project. When you Planned your strategy in Step 5 and start Doing your project, you need to Study the results after the first set of patients or first week or month. Then you might see some of your changes are working, but others are not being implemented as you meant them to, so you Act and make some changes. You make a new updated Plan, Do it, Study it, and Act upon it again if you think further changes need to be made.
The two projects below provide an example of how multiple PDSA cycles have been used to continually readjust the change and increase the improvements seen.
Example : Daniel’s project working to improve the documentation of dressing changes describes the PDSA cycle results:
Watch these videos from the Institute
for Healthcare Improvement explaining PDSA cycles:
Baseline and First PDSA cycle results
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