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Quality Improvement PDSAs in Developmental Screening
Quality Improvement • “Quality Improvement (QI) consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups” (Dept. of Health Resources and Service Administration) • Quality is linked to the system of care, or “how things are done now. ” To improve quality, you have to change how things are done. • 4 Key Focuses: – – Systems and processes Patients/patient outcomes Teamwork Use of data
Quality Improvement • “We are good at getting better" • A journey of 1000 miles begins with a single step • Hopeful and realistic at the same time • Allows you to start small, innovate, engage
What is the PDSA cycle?
Step 1: Plan • What do we want to improve? Plan - Objective - Questions and • What change predictions (Why? ) - Plan to carry out the cycle (who, what, where, when) should we test? • What is our anticipated outcome?
Step 2: Do Do - Carry out the plan - Document problems and unexpected observations - Begin analysis of the data • Put theory into practice • Map the new plan • Carry out the change on a small scale or pilot basis • Evaluate change with qualitative and quantitative data
Step 3: Study - Complete the analysis of the data - Compare data to predictions - Summarize what was learned • Evaluate and determine the degree of success • Determine what, if any, modifications are required
Step 4: Act What changes are to be made? Next Cycle? - • Adopt: by testing on a larger sample • Adapt: based on lessons learned • Abandon: By trying something different
Use of PDSA Cycles • PDSA cycles are great for: – Testing or adapting a change, especially on a small scale – Implementing an improvement – Spreading the improvements to the rest of your organization
Use of PDSA Cycles It may take several PDSA cycles and several months to get your process manageable- Quality Improvement is a process, not an event!
Be a Practice Change Driver! • What are some issues that have come up with you regarding developmental screening? • What ideas do you have to address these issues? • Create a PDSA cycle for your idea!