Pdsa

In: Other Topics

Submitted By babydidy
Words 3638
Pages 15
introduction

Quality Improvement is a formal approach to the analysis of performance and systematic efforts to improve it. It can be differed into Quality Assurance (QA) and Quality Improvement (QI). QA refer to the reactive, retrospective, policing, and in many ways punitive. It often involved determining who was at fault after something went wrong. This term is older and not as likely to be used today. Whereas, QI involves both prospective and retrospective reviews. It is aimed at improvement - measuring where you are, and figuring out ways to make things better. It specifically attempts to avoid attributing blame, and to create systems to prevent errors from happening. Another definition that is available is “Systematic, data-guided activities designed to bring about immediate improvement in healthcare delivery in particular settings.” (Lynn, et al, 2007, p. 667) As we all know, in today’s world, almost 90% of our expenses goes to treating the sick and only 10% spent on wellness and prevention of health problems. Batalden and Stoltz stated that “improvement knowledge” is divided into eight knowledge domains in order to improve health care. This eight domain is: 1. Health care as a process and system: the people, procedures, activities, and technologies of care giving that works together for the need of individuals and communities. 2. Variation and measurement: measurement uses to understand the variation across and within systems to improve the design and redesign of health care. 3. Customer/beneficiary knowledge: an understanding of their needs and preferences, and the relationship of health care to those needs and preferences. 4. Leading, following, and making changes in health care 5. Collaboration: the knowledge, methods, and skills needed to work effectively in groups, 6. Social context and accountability: an understanding…...

Similar Documents

Reflective Report

...Service Design and Transformation Reflective Report Introduction: According to Boud et al (1985), reflection refers to an opportunity to recall an experience, dwell upon it and evaluate it. As part of the assessment for ‘Service Design and Transformation module’, my group and I had to choose a service that needed change and help to redesign the service by applying approaches such as; Toyota Production System(TPS) , Plan Do Study Act(PDSA), Spaghetti and Value Stream mapping, as we have being taught in lectures. Aims and Objectives: This essay aims to give a reflective account of my contribution to the presentation; how my group and I planned the presentation and how well I worked with the group. All these will be analysed by adopting the Sibbert model. In addition I will briefly discuss the evidence and academic arguments used for my part of the group work, using relevant references. Also, a detailed account of how the formative and summative presentation went will be discussed, and the lessons I learnt through the whole process. Presentation Topic and Reasons for the chosen Topic: In my group we researched a range of topic before narrowing it down to antenatal care. According to Patients Opinion (2010), a patient narrated their experience in an antenatal clinic saying ‘’the waiting times for Antenatal Clinic are horrendous; I waited for my 9:30 appointment for 3 hours. Although the midwife I saw was kind and courteous and apologised’’. Based on all the evidence......

Words: 1783 - Pages: 8

Entrepreneurship

...understanding is achieved at the former stage it is ready to take off to the later one. The structure that steers all of the three levels is Deming’s (1986) PDSA (plan, do, study and act) cycle – a process of innovation, learning and continual improvement. The first phase The first step is to create and develop an effective intapreneurial team. Once the team is set up they then become self managed and further development can be achieved by an approach that constitutes knowledge development and management system that utilises the PDSA Cycle (Deming,1986).This is far better than continual improvement cycle of specification, production and inspection (Shewhart 1931,1939).The PDSA approach follows action learning way that is to plan, act, observe, reflect, revised plan (Revans,1982) it also goes along the lines of Argyris (1976) four step model of discover, invent, produce and generalise. Deming (1994) said that the element of quality lies in product or service innovation by the systems and processes that are responsible. The team has to advance on understanding, application, implementation or operation. The team becomes effective when they can achieve the four key alignments of Covey's (1990) that are as follows: • The personal – Trustworthiness • The interpersonal - Trust • Managerial –Empowerment • Organisational-Alignment The PDSA has four elements as the name speaks out that plan-do-study-act ,the first element plan is the very foundation and asks the team to......

Words: 3622 - Pages: 15

Preparing a School Improvement Plan

...improvement plan is used by the school leadership in assuring the budgets from different federal and state agencies are properly planned out and accounted for. Since planning is necessary to ensure funding for school improvement, a Plan-Do-Study-Act (PDSA) Cycle (Bernhardt, 2004) is implemented to insure all necessary funding is received and utilized toward improving student achievement. The school improvement plan team starts planning at the beginning of each school year by making all staff members aware of the plan that will be in effect for the current school year. The essential purpose of the plan is shared with the entire staff with emphasis on the desire of the team to gather input and data from all sources, and together select research-based strategies to improve student performance. With input from staff, the team is able to select quality tools to help students achieve, and when staff share best practices that have worked with their students they will be able to move the direction of the school in a positive direction. After the presentation and discussion the school elects and votes on new team members who will be responsible to ensure the plan is reviewed soon after each nine week grading period. After the planning portion of PDSA is complete, the team moves quickly into the do portion of the cycle. The entire team is split into pairs to review the plan each nine weeks utilizing a committee review form (Appendix A) which is turned in for review to all team......

Words: 787 - Pages: 4

Quality Techniques

...four-step problem-solving process typically used in business process improvement. It is also known as the Deming circle, Shewhart cycle, Deming cycle, Deming wheel, control circle or cycle, or plan–do–study–act (PDSA). Meaning PLAN Establish the objectives and processes necessary to deliver results in accordance with the expected output. By making the expected output the focus, it differs from other techniques in that the completeness and accuracy of the specification is also part of the improvement. DO  Implement the new processes. Often on a small scale if possible. CHECK  Measure the new processes and compare the results against the expected results to ascertain any differences. ACT  Analyze the differences to determine their cause. Each will be part of either one or more of the P-D-C-A steps. Determine where to apply changes that will include improvement. When a pass through these four steps does not result in the need to improve, refine the scope to which PDCA is applied until there is a plan that involves improvement PDCA was made popular by Dr. W. Edwards Deming, who is considered by many to be the father of modern quality control; however he always referred to it as the "Shewhart cycle". Later in Deming's career, he modified PDCA to "Plan, Do, Study, Act" (PDSA) so as to better describe his recommendations. The concept of PDCA is based on the scientific method, as developed from the work of Francis Bacon (Novum Organum, 1620). The scientific method can......

Words: 2500 - Pages: 10

Sour Grapes Case Study

...the best run time is determined, they should look toward solving the other problems that are causing rejects. While there where a significantly more rejects due to a soupy end product, there are still other rejects that are occurring. The next biggest problem would be the formation of ice crystals. It is believed that this occurs during the mixing process. A flow chart should then be done for this to determine what factors are causing the ice crystals from forming. Quality Ice Cream, should continuously be working toward finding a solution for the problems that occur. The can do this by suing the plan, do, study, and act or PDSA cycle. To solve the remaining rejection issue of bad taste and off color, they should utilize the DMAIC cycle. This cycle involves defining the issue, measuring it, analyzing, improving and controlling. Like the PDSA cycle this cycle can be applied to new processes to create more improvements. (Sower, V. 2011, pg. 194-195). They should never settle for good enough, but strive for the best. They should utilize benchmarking to compare themselves to the best-in-class and strive for their quality and not just average. References Sower, V. (2011). Essentials of Quality with cases and experiential exercises. John Wiley & Sons, Inc.: Hoboken, NJ....

Words: 463 - Pages: 2

Plan-Do-Study-Act (Pdsa): the Deming Cycle

...Running head: Plan-Do-Study-Act (PDSA): The Deming Cycle Plan-Do-Study-Act (PDSA): The Deming Cycle Dana T. Colter Grand Canyon University EDA 577 Data Driven Decisions for School Improvement September 29, 2010 Plan-Do-Study-Act (PDSA): The Deming Cycle Increasing student achievement is one of the goals at Lewisville High School. There are two major exams used to measure student achievement. The first exam is the South Carolina High School HSAP exam. The second exam is the End-of Course Exam. South Carolina requires students to complete End-of-Course exams at the completion of English 1, Physical Science, U.S. History, and Algebra 1. Below you will find data from the 2009-2010 Algebra End-of-Course Exam. This exam is giving to students at the end of Algebra I CP and Algebra Tech II. The exam is given by the state and is twenty percent of the students’ final grade. The exam tests the South Carolina Algebra Standards. These standards include understanding functions, linear functions, and quadratic equations. |School Year | 2009 - 2010 |  | | | |Grade |# of Students |Percentage | | | |A |12 |13% | |3 perfect Scores | |B |25 |27% ...

Words: 906 - Pages: 4

Organizational Systems and Quality Leadership

...How will we know a change is an improvement? The third part is called, Changes: What change can we make that will result in improvement? The second part of The Model for Improvement is the PDSA cycle. This is the testing phase of the model. The acronym PDSA stands for Plan, Do, Study, and Act. This is a four step process which is a simple way to test and make changes to the process. If The Model for Improvement is applied to Mr. B’s scenario, the aim of the improvement plan would be to make sure that patients coming into the emergency room receive the appropriate dose of medications, that the patients are monitored correctly, and that the staff is educated about proper medication administration. The measures part, How will we know a change is an improvement, could be answered by compiling data with the number of patients receiving hydromorphone in the emergency room, what type of monitoring was used while the patient was receiving the medication, and what was the outcome in the case. The third part of the model would be screening patients that will be receiving hydromorphone for respiratory depression risk factors, assess for any previous history of use or abuse of opioid medications, and ensuring that the staff has the proper education about appropriate medication administration. The PDSA cycle would then be used to test and make changes to the model so that the patients receiving hydromorphone have been properly screened, are properly monitored, and that the staff is......

Words: 2102 - Pages: 9

Systems Thinking

...  Range  Limit  (URL)   The third area of profound knowledge is the theory of knowledge. Knowledge is certainly power, but its theories need constant testing and continuous improvement company wide. As a direct result to the need for testing theories and gaining knowledge Dr. Deming developed the Plan-Do-Study-Act (PDSA) cycle to assess processes and products. This cycle is also known as the Deming Wheel or Cycle. The PDSA cycle is a never-ending learning and continuous improvement tool. The cycle can be applied in any setting and not just a work environment. At my current job we are in the midst of deploying a new electronic medical record. I plan to take the PDSA strategy to the decision makers and see it they used this approach. And if not this approach then what approach did they use. Plan - What is the objective? Whom, what, where and when? Timeline. What data can we collect? Make educated predictions. Do –Execute the plan. Collect and analyze the data. Study – Finalize analysis of the data. Compare data findings to predictions. What did we learn? Act – Do we adapt, abandon or adopt? Make changes and begin the PDSA cycle again. Systems  Thinking             6   The forth and final area of profound knowledge is the theory of psychology. This area in my opinion is critical to the success of any organization and yet probably the most difficult area to master. Determining what makes people tick can be......

Words: 1640 - Pages: 7

Organizational Systems & Quality Leadership Medicine and Health

...occurrence of a particular scenario. The probability of a problem happening needs to be detced and acted upon before it occurs. Testing the interventions from the process improvement plan to improve care A test for the efficiency proposed interventions can be done using the Plan-Do-Study-Act (PDSA) cycle. This cycle is suitable for almost all improvement plans. The cycle includes planning for change, implementing the change, and observing the results. Observation helps detect whether the change is bringing about the anticipated improvement of care. The check and act stages of the cycle are most important especially in health care scenario, since besides identifying possible risk factors they raise the need to take on necessary corrective measures. The PDSA cycle requires nurses to act as managers in all stage of change implementation. The PDSA cycle will be incorporated in all stages of care delivery. Under PDSA, the expected findings are documented and data analysis conducted. The relevance of assessment procedures upon presentation of a patient will be done. This will help ensure that concrete patient information is obtained. Other aspects of care that shall be analyzed in the PDSA cycle include the coordination of care providers, the quality of care provided to the patient from the initial point of contact, dispute resolution strategies adopted, and the role played by family members (Cameron & Green, 2012). The time was taken to provide crucial care to the patient......

Words: 2124 - Pages: 9

Organizational Systems and Quality Leadership

...staff. Contributory factors included high patient census, poor staffiing, poor communication between staff and physician, patient on chronic opioid medications, patient elderly and the emergency room conscious sedation protocol wasn’t followed. To implement change there are several steps in the improvement process. One of the first steps in the process of change a committee is formed. The emergency room physician, nurse, emergency room nurse manager, pharmacist and other ancillary staff could form the committee. The committee would review documentation, incident reports, discuss this information and create an outline. Some of the tools that can be utilized to help them with this process is the Model for Improvement, PDSA or Plan Do Study Act, workflow mapping, assessments, audits, feedback, benchmarking and best practice research Root Cause Anlysis. (n.d.). The committee needs to identify the goals for improvement with conscious sedation protocols and procedures. It’s important for the goal to be clear, concise and provide guidance to staff that are participating. The guidelines need to explain the roles of staff members, how often the committee meets, and explain the objectives. By including staff it creates a culture of change and willingness to improve patient care. Some of the changes that can be implemented in the emergency room during conscious sedation is increased staffing, creating flex nurses that would assume care of......

Words: 4623 - Pages: 19

Aulity Improvmenet Part 1

...errors is the third leading cause of death in hospital settings. Central Line insertion can be a very serious part of patient safety, it cause blood clots, veins rupture, and skin irritation/infections. Central line insertion needs to be inspect to ensure the line is necessary for the patient care that is been received. Central insertion is necessary for medication to be admin, long-term hospital stay, and therapy such as chemo. The central line will be looked at to see how often the line are changed, or cleaned to avoid infections. The first tool that will be used to measure improvement will be the plan-do-study-act ( PDSA), this plans allows the Davis Healthcare to accomplish it goal through small and frequent PDSAs. PDSA look at the goal of the project, which would be the quality improvement for the organizations ( www.ncbi.nlm.nih.gov, 2008). The PDSA measure nature and scope of the problem, what changes needs to be made in the organizations and plans with specific goals. This tools contain weakness such as not having obtainable goals that will should progress and improvement. The next tools would be data assessment such as surveys, the survey will allow the problem within the Davis healthcare to be identify. Once these survey are concluded the management and stakeholder needs to be aware of the outcomes, the surveys needs to be conducted anyomous so employees don’t feel any of fear retaliation. The weakness with this data collections is not getting all the......

Words: 1240 - Pages: 5

Rapid

.................................................................................. page 20 Worksheet F: Process Improvement Plan. ........................................................................... page 21 . Worksheet G: Pilot Testing................................................................................................... page 22 Worksheet H: Pilot Testing Evaluation.................................................................................. page 23 Worksheet I: Ongoing Monitoring........................................................................................ page 24 Worksheet J: Implementation Strategy................................................................................ page 25 Worksheet K: PDSA Cycle..................................................................................................... page 26 Worksheet L: Fishbone Diagram. ......................................................................................... page 28 . Worksheet M: RCA Memorandum....................................................................................... page 29 Worksheet N: Overcoming Barriers to Change..................................................................... page 31 MO-08-05-QI October 2008 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and......

Words: 9192 - Pages: 37

Action Planning Model Pdsa Healthcare

...phases in each approach can be mapped to the phases of the others. PDSA The PDSA-Cycle is the classic problem-solving approach in a LEAN environment. PDCA is used for medium sized problems and the Act-phase implies that the PDCA-Cycle should start again in the sense of a continuous improvement process. The Plan-phase should be done very careful and therefore should consume at least 50% of the total time of the PDSA. DMAIC The origin of the DMAIC problem solving approach is the Six Sigma world. Basically, it is a 5-Step PDCA used for large problems where typically a huge amount of data is available. Therefore DMAIC is often related with statistic tools, but this does not have to be. The duration of a DMAIC project may exceed more than three months, dependent on the complexity of the problem and process to be improved. Illustration 1 – Compare and Contrast PDSA vs. DMAIC PDSA DMAIC Plan Define Measure Analyze Do Improve Study Control Act ACTION PLAN Working in a healthcare setting for a few years I have gained enough experience to identify deficiencies or processes that could be more efficient. In my attempt to improve the flow of patients from the emergency room of hospital admittance to a ward, I will apply the W Edwards Deming model “Plan, Do, Study, Act.” Continuous quality improvement is not just going to happen, you need to have a system to ensure that it happens, the PDSA cycle is the obvious choice, Plan, Do, Study, then Act as a......

Words: 1946 - Pages: 8

Qi Wk 1

...paper. Foundational Frameworks of QI There are several foundational frameworks within the subject of QI. There are several QI models derived from ideas and theories of leaders. According to Ransom, Joshi, Nash, and Ransom, (2008) PDSA/PDCA, API, FOCUS PDCA, Baldrige Criteria, ISO 9000, Lean, and Six Sigma represent various frameworks used to improve the quality of healthcare. Edward Deming described the Plan-Do-Study-Act (PDSA) cycle a plan to learn and improve the quality of work dated back to 1950s. Later Walter Shewhart developed the Plan-Do-Check-Act (PDCA) cycle for the basis for planning and expressing QI endeavors. The PDSA/PDCA model helps the facility to focus on how to plan for the improvement, how the improvement will be implemented, how the improvement will be identified/monitored, and what was learned from the improvement process. The associates in process improvement (API) represent a model based upon the PDSA cycle. In addition to the PDSA cycle the model adds three fundamental questions: what are we trying to improve, how will we identify the change is an improvement, and what change can we make that will result in improvement according to Ransom et al. (2008). The FOCUS PDCA represents another theory based upon the PDCA/PDSA cycle. The model maximizes the performance of preexisting PDCA process to include (FOCUS) that means find a process, organize the team, clarify knowledge and process, understand cause and effect, and select improvement process......

Words: 1073 - Pages: 5

Process Improvement

...as a result of poor product performance, problem solving usually occurs as a natural part of a competitive environment. A major challenge is translating, in a timely manner, user needs and constraints into product attributes and specifications, usually using quality function deployment (QFD). The PDSA Cycle: PDSA refers to the process of continual improvement and learning proposed by Walter Shewhart and espoused by W. Edwards Deming. The letters stand for Plan, Do, Study, and Act. Dr. Deming introduced Dr. Shewhart's 'Cycle' to the Japanese in 1950, and the Japanese English translation became Plan, Do, Check, Action which was changed to Plan, Do, Check, Act in the United States for reasons of grammar. Dr. Deming, upon hearing this translation of what he had taught the Japanese, said that the definition of 'check' was 'to hold back,' which was not what he had intended the step to be. He suggested several terms, but 'study' seemed to stick. The PDSA Cycle is also referred to as the "Deming Cycle" in honor to the man who introduced it to so many people in government, business and education. It is an effective improvement technique. Figure below illustrates the cycle. The PDSA Cycle The four steps in the cycle are exactly as stated. * First, plan carefully what is to be done. Here the team selects a process that needs improvement, documents the selected process, sets qualitative goals for improvement and discusses various ways to......

Words: 2473 - Pages: 10