PDSA CYCLES THE ART SCIENCE OF IMPROVEMENT DIANE

P-D-S-A CYCLES THE ART + SCIENCE OF IMPROVEMENT DIANE LIU, MD DIRECTOR, UPIQ UTAH PEDIATRIC PARTNERSHIP TO IMPROVE HEALTHCARE QUALITY ©UNIVERSITY OF UTAH HEALTH,

PRINCIPLES OF IMPROVEMENT • Knowing why you need to improve • Having a feedback mechanism to tell you if the improvement is happening • Developing an effective change that will result in improvement • Testing a change before implementation • Knowing when and how to implement change 2 ©UNIVERSITY OF UTAH HEALTH,

SCIENCE OF IMPROVEMENT - HYPOTHESIS • What changes can we make that will result in an improvement? PREDICTIONS! • Once you select a change idea, it is time to turn ideas into action and connect action to learning IDEAS ACTION LEARNING • Enter the PDSA cycle! 3 ©UNIVERSITY OF UTAH HEALTH,

PDSA SHORTHAND FOR TESTING A CHANGE • Plan developing a plan to test the change • Do carrying out the test • Study observing and learning from the consequences • Act take action; determining what modifications should be made to the test (source IHI. org) 4 ©UNIVERSITY OF UTAH HEALTH,

SOURCE: The Improvement Guide Langley/Provost 5

REMEMBER • Improvement is an outcome of the application of (appropriate) knowledge • Knowledge is gained sequentially 7 ©UNIVERSITY OF UTAH HEALTH,

Model for Improvement Breakthrough Results What are we trying to accomplish? How will we know that a change is an improvement? What change can we make that will result in improvement? Ev n e id A S Theories, hunches, and best practices A P S D D & e c P g n i rn ta a D A P S D DS PA m e v ro p m I d an t n e Wide-scale implementation of change Test new conditions Lea Follow-up tests Sequential Building Small Scale Testing of Knowledge with multiple PDSA Test Cycles Figure 7. 2 ‘The Improvement Guide’ Langley, et al. 2009

THANK YOU! QUESTIONS? Diane. Liu@hsc. utah. edu Diane Liu, MD Director of The Utah Pediatric Partnership to Improve Healthcare Quality 9 ©UNIVERSITY OF UTAH HEALTH,