A PRACTICAL GUIDE TO QUALITY IMPROVEMENT FOR BURN CARE in Low-Resourced Settings
Baseline and First PDSA cycle Daniel’s first PDSA cycle did not bring much positive change in the project. Some of the problems that were identified (as you can see below) with the actions that Daniel took to make his second PDSA cycle more successful:
‘Study’: findings from first PDSA cycle
‘Act’: changes incorporated for second PDSA cycle
• Some stakeholders did not know what to write in patients files. • Some fields on the checklists were not filled out. • Some care providers showed little knowledge of descriptions of burn wound assessment. • Some staff complained that documentation in that way was time consuming.
• The checklist for collecting data was modified. • Guiding Notes were introduced to improve documentation following dressing change. • The stakeholders agreed to use the new system of documentation. • Continuous orientations on the use of checklist after dressing changes was a norm. • Presentation on dressing changes in burn and documentation involving the champions e.g. Ward Improvement Team.
This might be a bigger problem than Daniel thought from the assessment in Step 3.
A reminder to think through how to get stakeholders on board when you plan your strategy (Step 5)
Also important for sustainability of the change (see next step)
Baseline and second PDSA cycle results
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