A Guide to Implementing Best Practices in Person ... - cancerview.ca

Navigation: A Guide to Implementing Person-Centred Care September 2012idea is called a PDSA ramp. The team can implement PDSA ramps one after the otheror simultaneously.Below are the steps to follow to conduct a PDSA cycle:1) Gather your implementation team. Discuss your progress to date and some of thecurrent barriers or hurdles in your work. Select one of the most relevant problemsor hurdles and identify the purpose of the action that is needed to address it. Doesthe team need to:−−Develop a change idea (brainstorm to solve aproblem or conduct rapid cycles to gather informationand address a problem)? The team knowsthere is a problem but is not sure how to addressit. Try a Defect Check Sheet or a Small Survey toisolate and identify the problem.Implement and test a change (take the steps tomake a change and make sure that it worked). The team knows what needs tohappen next, so it designs a small-scale modification to implement systematicallyand measure to track the outcome. If the change appears to be successful,the change can be implemented on a larger and/or more complex scale.2) Use a PDSA Cycle worksheet to plan the rapid cycle.3) Communicate results early and often to all stakeholders.Teams identify thechange ideas and use aseries of PDSA cycles todevelop and test smallchanges on a small scalein different contexts.PDSA Cycle Steps (Health Quality Ontario, 2012)Step 1: Plan State the purpose of the PDSA:P• Are you developing a change idea, testing a change or implementing change?• What is your change idea?• What indicator(s) of success will you measure?• How will data on these indicators be collected?• Who or what is the subject of the test?• How many subjects will be included and over what time period?• What do you hypothesize will happen and why?Step 2: Do• Conduct the test• Document results, including problems and unintended consequencesD• Collect and begin analysis of the dataStep 3: StudySStep 4: ActA• Complete analysis of the data and study the results• Compare the data to your predictions• Summarize and reflect on what was learned• Refine the change idea based on lessons learned from the test• Prepare a plan for the next test47