[{"command":"settings","settings":{"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"ajaxPageState":{"libraries":"eJxVyDEOgDAIAMAPmXbyPQaFWJQKoUV9vomLcbnhlp2Qu_o4dVXpbLkXqjQYOKwOVlpGDwNJ36Q4LGbhVgiHk-lq-TXBBvcvqmIIPckHJ18","theme":"newsteps","theme_token":null},"ajaxTrustedUrl":[],"views":{"ajax_path":"\/views\/ajax","ajaxViews":{"views_dom_id:2ec7cd1bace09a4a46bfe3608ec7f3ed290d2f6efb031a1e5a0ab2c603e99510":{"view_name":"toolkit_sections","view_display_id":"block_section_related_resources","view_args":"42860","view_path":"\/aphl-api\/get-toolkit-section\/42860","view_base_path":null,"view_dom_id":"2ec7cd1bace09a4a46bfe3608ec7f3ed290d2f6efb031a1e5a0ab2c603e99510","pager_element":0},"views_dom_id:4a9113147b625b2e400bfd47ce9229e58337e9130f75a516296b2b1babc85701":{"view_name":"toolkit_sections","view_display_id":"attachment_toolkit_related_resource","view_args":"42860","view_path":"\/aphl-api\/get-toolkit-section\/42860","view_base_path":null,"view_dom_id":"4a9113147b625b2e400bfd47ce9229e58337e9130f75a516296b2b1babc85701","pager_element":0},"views_dom_id:1b3454ca22881c3ae21deba907a7db3b29ce0819bd80cb1da0a89e1331e79332":{"view_name":"toolkit_sections","view_display_id":"block_toolkit_section_additional","view_args":"42860","view_path":"\/aphl-api\/get-toolkit-section\/42860","view_base_path":null,"view_dom_id":"1b3454ca22881c3ae21deba907a7db3b29ce0819bd80cb1da0a89e1331e79332","pager_element":0},"views_dom_id:370be94b82a6aeafe2d38ddb8779a05cd0a71a8b9962b8763cb742c29a4735d8":{"view_name":"toolkit_sections","view_display_id":"block_toolkit_section_full","view_args":"42860","view_path":"\/aphl-api\/get-toolkit-section\/42860","view_base_path":null,"view_dom_id":"370be94b82a6aeafe2d38ddb8779a05cd0a71a8b9962b8763cb742c29a4735d8","pager_element":0}}},"user":{"uid":0,"permissionsHash":"833ba30cccab372c95c0c64c97c22a4bb4b2156554bb2bbea484cc7dd17d556d"}},"merge":true},{"command":"add_css","data":[{"rel":"stylesheet","media":"all","href":"\/core\/misc\/components\/progress.module.css?tdhib2"},{"rel":"stylesheet","media":"all","href":"\/core\/misc\/components\/ajax-progress.module.css?tdhib2"},{"rel":"stylesheet","media":"all","href":"\/core\/modules\/views\/css\/views.module.css?tdhib2"},{"rel":"stylesheet","media":"all","href":"\/modules\/custom\/ckeditor5_tooltip\/css\/tooltip.css?tdhib2"},{"rel":"stylesheet","media":"all","href":"\/modules\/contrib\/paragraphs\/css\/paragraphs.unpublished.css?tdhib2"}]},{"command":"add_js","selector":"body","data":[{"src":"\/core\/assets\/vendor\/jquery\/jquery.min.js?v=4.0.0"},{"src":"\/core\/assets\/vendor\/once\/once.min.js?v=1.0.1"},{"src":"\/sites\/default\/files\/languages\/en_iVk-mXY48-3nev2K4weW3PZ8gBbK-GQHaXeFOIcaepg.js?tdhib2"},{"src":"\/core\/misc\/drupalSettingsLoader.js?v=11.3.5"},{"src":"\/core\/misc\/drupal.js?v=11.3.5"},{"src":"\/core\/misc\/drupal.init.js?v=11.3.5"},{"src":"\/core\/assets\/vendor\/tabbable\/index.umd.min.js?v=6.3.0"},{"src":"\/modules\/custom\/ckeditor5_tooltip\/js\/ckeditor5_plugins\/tooltipPlugin\/src\/tooltipposition.js?tdhib2"},{"src":"\/core\/misc\/jquery.form.js?v=4.3.0"},{"src":"\/core\/misc\/progress.js?v=11.3.5"},{"src":"\/core\/assets\/vendor\/loadjs\/loadjs.min.js?v=4.3.0"},{"src":"\/core\/misc\/debounce.js?v=11.3.5"},{"src":"\/core\/misc\/announce.js?v=11.3.5"},{"src":"\/core\/misc\/message.js?v=11.3.5"},{"src":"\/core\/misc\/ajax.js?v=11.3.5"},{"src":"\/core\/modules\/views\/js\/base.js?v=11.3.5"},{"src":"\/core\/modules\/views\/js\/ajax_view.js?v=11.3.5"}]},{"command":"insert","method":"replaceWith","selector":"#toolkit-full-block-wrapper","data":"\u003Cdiv id=\u0022toolkit-full-block-wrapper\u0022  class=\u0022js-container--content-tabs\u0022\u003E\u003Cdiv class=\u0022js-view-dom-id-370be94b82a6aeafe2d38ddb8779a05cd0a71a8b9962b8763cb742c29a4735d8\u0022\u003E\n  \n  \n  \n\n  \n  \n  \n\n  \u003Cdiv class=\u0022views-view-grid horizontal cols-4000 clearfix\u0022\u003E\n              \u003Cdiv\u003E\n                  \u003Cdiv\u003E\n\n\u003Carticle data-history-node-id=\u002242860\u0022 class=\u0022node node--type-section node--view-mode-full\u0022\u003E\n  \n  \n  \u003Ch4 class=\u0022uppercase\u0022\u003ESection \u003Cspan\u003E3\u003C\/span\u003E\u003C\/h4\u003E\n  \u003Ch1 class=\u0022node-title\u0022\u003EUtility of Plan-Do-Study-Act (PDSA) Model\u003C\/h1\u003E\n  \n\u003Cdiv class=\u0022field--name-field-sections\u0022\u003E\n  \u003Cdiv class=\u0022toolkit-section\u0022\u003E  \u003Cdiv class=\u0022paragraph paragraph--type--text paragraph--view-mode--default\u0022\u003E\n          \n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E\u003Ch3\u003EOverview\u003C\/h3\u003E\u003Cp\u003EThe \u003Cstrong\u003EPDSA cycle\u003C\/strong\u003E is a method to test changes in a structured way. This section explains each step of the PDSA cycle and how it ensures that any change leads to true improvements before wide-scale implementation. Each PDSA phase is expanded to include more information and illustrative examples.\u003C\/p\u003E\u003Cp\u003ECourse lesson: \u003Ca href=\u0022https:\/\/www.newsteps.org\/sites\/default\/files\/quality-improvement-practices\/course\/#\/lessons\/0yF8PTzgqMJWSruOeBFLxnMqXtHWNMAd\u0022\u003E\u003Cstrong\u003EPDSA\u003C\/strong\u003E\u003C\/a\u003E\u003C\/p\u003E\u003Cimg src=\u0022\/sites\/default\/files\/quality-improvement-practices\/PDSA_IHI_0_0_0_0.png\u0022 data-entity-uuid=\u0022b538ca4b-e04d-4b35-996d-a5ede964ff89\u0022 data-entity-type=\u0022file\u0022 alt width=\u0022390\u0022 height=\u0022247\u0022 class=\u0022align-center\u0022 loading=\u0022lazy\u0022\u003E\u003Cp style=\u0022-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(17, 17, 17);font-family:-apple-system, Roboto, SegoeUI, \u0026quot;Segoe UI\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, Helvetica, \u0026quot;Microsoft YaHei\u0026quot;, \u0026quot;Meiryo UI\u0026quot;, Meiryo, \u0026quot;Arial Unicode MS\u0026quot;, sans-serif;font-size:16px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-variation-settings:var(--cib-type-body2-font-variation-settings);font-weight:400;letter-spacing:normal;line-height:var(--cib-type-body2-line-height);margin-bottom:0px;margin-left:0px;margin-right:0px;margin-top:0px !important;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-break:break-word;word-spacing:0px;\u0022\u003EYou may hear other terms used, such as \u003Cstrong style=\u0022font-size:var(--cib-type-subtitle2-stronger-font-size);font-variation-settings:var(--cib-type-subtitle2-stronger-font-variation-settings);font-weight:var(--cib-type-subtitle2-stronger-font-weight);line-height:var(--cib-type-subtitle2-stronger-line-height);\u0022\u003EPDCA (Plan-Do-Check-Act)\u003C\/strong\u003E, \u003Cstrong style=\u0022font-size:var(--cib-type-subtitle2-stronger-font-size);font-variation-settings:var(--cib-type-subtitle2-stronger-font-variation-settings);font-weight:var(--cib-type-subtitle2-stronger-font-weight);line-height:var(--cib-type-subtitle2-stronger-line-height);\u0022\u003EKaizen\u003C\/strong\u003E, and \u003Cstrong style=\u0022font-size:var(--cib-type-subtitle2-stronger-font-size);font-variation-settings:var(--cib-type-subtitle2-stronger-font-variation-settings);font-weight:var(--cib-type-subtitle2-stronger-font-weight);line-height:var(--cib-type-subtitle2-stronger-line-height);\u0022\u003EKata\u003C\/strong\u003E, which are all similar in their approach to continuous improvement.\u003C\/p\u003E\u003Cul\u003E\u003Cli\u003E\u003Cp style=\u0022-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(17, 17, 17);font-family:-apple-system, Roboto, SegoeUI, \u0026quot;Segoe UI\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, Helvetica, \u0026quot;Microsoft YaHei\u0026quot;, \u0026quot;Meiryo UI\u0026quot;, Meiryo, \u0026quot;Arial Unicode MS\u0026quot;, sans-serif;font-size:16px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-variation-settings:var(--cib-type-body2-font-variation-settings);font-weight:400;letter-spacing:normal;line-height:var(--cib-type-body2-line-height);margin-bottom:0px;margin-left:0px;margin-right:0px;margin-top:0px !important;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-break:break-word;word-spacing:0px;\u0022\u003EPDCA (Plan-Do-Check-Act): This method is almost identical to PDSA, with \u201cCheck\u201d replacing \u201cStudy.\u201d Both involve planning a change, implementing it, evaluating the results, and acting on what is learned to make further improvements.\u003C\/p\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cp style=\u0022-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(17, 17, 17);font-family:-apple-system, Roboto, SegoeUI, \u0026quot;Segoe UI\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, Helvetica, \u0026quot;Microsoft YaHei\u0026quot;, \u0026quot;Meiryo UI\u0026quot;, Meiryo, \u0026quot;Arial Unicode MS\u0026quot;, sans-serif;font-size:16px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-variation-settings:var(--cib-type-body2-font-variation-settings);font-weight:400;letter-spacing:normal;line-height:var(--cib-type-body2-line-height);margin-bottom:0px;margin-left:0px;margin-right:0px;margin-top:0px !important;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-break:break-word;word-spacing:0px;\u0022\u003EKaizen: This Japanese term means \u201ccontinuous improvement\u201d and involves all employees working together to make small, incremental changes. Like PDSA, Kaizen focuses on ongoing, iterative improvements.\u003C\/p\u003E\u003C\/li\u003E\u003Cli\u003E\u003Cp style=\u0022-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(17, 17, 17);font-family:-apple-system, Roboto, SegoeUI, \u0026quot;Segoe UI\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, Helvetica, \u0026quot;Microsoft YaHei\u0026quot;, \u0026quot;Meiryo UI\u0026quot;, Meiryo, \u0026quot;Arial Unicode MS\u0026quot;, sans-serif;font-size:16px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-variation-settings:var(--cib-type-body2-font-variation-settings);font-weight:400;letter-spacing:normal;line-height:var(--cib-type-body2-line-height);margin-bottom:0px;margin-left:0px;margin-right:0px;margin-top:0px !important;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-break:break-word;word-spacing:0px;\u0022\u003EKata: This method emphasizes developing routines and habits for continuous improvement and problem-solving. It involves practicing structured routines, similar to the iterative cycles of PDSA.\u003C\/p\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003Cp style=\u0022-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);color:rgb(17, 17, 17);font-family:-apple-system, Roboto, SegoeUI, \u0026quot;Segoe UI\u0026quot;, \u0026quot;Helvetica Neue\u0026quot;, Helvetica, \u0026quot;Microsoft YaHei\u0026quot;, \u0026quot;Meiryo UI\u0026quot;, Meiryo, \u0026quot;Arial Unicode MS\u0026quot;, sans-serif;font-size:16px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-variation-settings:var(--cib-type-body2-font-variation-settings);font-weight:400;letter-spacing:normal;line-height:var(--cib-type-body2-line-height);margin:12px 0px 0px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-break:break-word;word-spacing:0px;\u0022\u003EThese methods share a common goal of improving processes and outcomes through structured, iterative approaches.\u003C\/p\u003E\u003C\/div\u003E\n      \n      \n      \u003Cdiv class=\u0022field field--name-field-upload-file field--type-entity-reference-revisions\u0022\u003E\n              \u003Cdiv\u003E\n  \u003Cdiv class=\u0022paragraph paragraph--type--file paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022field_download\u0022\u003E\n        \u003Ca href=\u0022\/sites\/default\/files\/2024-10\/QI%20Projects%20PDSA%20Template.pdf\u0022 class=\u0022h3 icon-download\u0022 target=\u0022_blank\u0022\u003E\n                      PDSA Fillable Template\n                  \u003C\/a\u003E      \u003C\/div\u003E\n      \u003C\/div\u003E\n\u003C\/div\u003E\n          \u003C\/div\u003E\n  \n      \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003Cdiv class=\u0022toolkit-section\u0022\u003E          \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EPlan\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E\u003Ch6\u003E\u003Cimg src=\u0022\/sites\/default\/files\/media-icons\/generic\/generic.png\u0022 data-entity-uuid=\u0022019e6131-6ca5-4919-96c7-3869c85f8b20\u0022 data-entity-type=\u0022file\u0022 alt width=\u002223\u0022 height=\u002223\u0022 loading=\u0022lazy\u0022\u003EThe \u003Cstrong\u003EPlan \u003C\/strong\u003Ephase of the PDSA cycle is crucial for laying the groundwork for any quality improvement project. The PDSA cycles should be rapid tests of changes and each cycle has a well-defined plan for that test cycle. \u0026nbsp;\u003C\/h6\u003E\u003Chr\u003E\u003Ctable style=\u0022border-color:hsl(0, 0%, 60%);border-style:inset;\u0022\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl(0, 0%, 90%);\u0022\u003E\u003Cstrong\u003EExamine your current processes by brainstorming with your team\u003C\/strong\u003E. Ask questions like: What are we doing now? How do we do it? What are the major steps in the process? Who is involved? What is done well? What could be done better? This analysis helps identify areas for improvement and sets the stage for effective planning.\u003C\/td\u003E\u003C\/tr\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl( 27, 49%, 88% );\u0022\u003E\u003Cp\u003E\u003Cstrong\u003EWrite a concise statement of what you plan to do\u003C\/strong\u003E in this testing phase. This is different from the project aim statement.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EFor example, if the goal is to reduce the time taken to notify providers of a positive newborn screening result, the plan might involve testing a new notification system. This step should be much more focused and smaller than the full implementation of the tool, targeting a specific aspect of the process.\u0026nbsp;\u003C\/p\u003E\u003C\/td\u003E\u003C\/tr\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl(0, 0%, 90%);\u0022\u003E\u003Cstrong\u003EOutline the outcomes you hope to achieve. \u003C\/strong\u003EThese could be quantitative, such as reducing the notification time by 20%, or qualitative, such as measuring the providers\u0027 satisfaction with the notification process with open-ended questions.\u0026nbsp;\u003C\/td\u003E\u003C\/tr\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl( 30, 70%, 87% );\u0022\u003E\u003Cstrong\u003EDetail the steps you will take during this cycle.\u003C\/strong\u003E This includes identifying the population you are working with, such as the submitters responsible for notifications or the providers receiving them. Set a time limit for the study, which could be as short as one week, to gather initial results. If the new system proves ineffective within a few hours or days, you can terminate the cycle early and analyze the findings.\u003C\/td\u003E\u003C\/tr\u003E\u003C\/tbody\u003E\u003C\/table\u003E\u003Chr\u003E\u003Cp\u003EThis structured approach helps ensure that any changes made are based on solid planning and are more likely to lead to meaningful improvements in the newborn screening process.\u003Cbr\u003E\u0026nbsp;\u003C\/p\u003E\u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EDo\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E\u003Cp\u003E\u003Cmeta charset=\u0022UTF-8\u0022\u003E\u003Cmeta http-equiv=\u0022X-UA-Compatible\u0022 content=\u0022IE=edge\u0022\u003E\u003Cmeta name=\u0022viewport\u0022 content=\u0022width=device-width, initial-scale=1.0\u0022\u003E\u003Cstyle\u003E\n          table {\n            border: 1px solid #c4c7c5;\n            border-radius: 4px;\n            font-size: 16px;\n          }\n          th {\n            padding: 18px 16px;\n            text-align: left;\n          }\n          td {\n            padding: 16px;\n            border-top: 1px solid #c4c7c5;\n          }\n          .katex-mathml{\n            display: block;\n            text-align: center;\n          }\n          .katex-html {\n            display: none;\n          }\n          \n        \u003C\/style\u003E\u003C\/p\u003E\u003Cdiv class=\u0022content user-select-text\u0022 tabindex=\u00220\u0022 aria-description aria-label=\u0022Sent by Copilot: ### Do Phase of the PDSA Cycle\n\nThe Do phase is where you put your plan into action. Here\u2019s a brief overview of what this involves:\n\n1. **Implement Your Plan**:\n   - Begin by executing the changes you have planned. This could be a small-scale test, such as implementing a new notification system for a day or testing a new workflow in a single department.\n\n2. **Collect and Document Data**:\n   - As you implement the plan, collect data to prepare for the Study phase. This data will help you evaluate the effectiveness of the changes. Use tools like flowcharts, swim lane maps, or run charts to capture data and specific occurrences over time.\n\n3. **Observe and Document**:\n   - Observe the implementation closely. Document what works, what doesn\u2019t, and any unexpected outcomes. Note how staff, patients, and stakeholders react to the changes. Be prepared for the possibility that the change might not work as expected and document any modifications made to the plan.\n\n4. **Small Test of Change**:\n   - Remember, the plan does not have to be large-scale. It can be as small as one day, one activity, or one concept you want to test. This allows for manageable and focused testing.\n\n5. **Describe What Happens**:\n   - Write down your observations during the implementation. This includes how the change fits into your system or workflow and any immediate impacts. Ask yourself questions like, \u0026quot;Did everything go as planned?\u0026quot; or \u0026quot;Did I have to modify the plan?\u0026quot;\n\n6. **Collect Data**:\n   - Document the data related to the change you are testing. This might involve quantitative data, such as the number of notifications sent within a specific timeframe, or qualitative data, such as feedback from staff and patients. Utilize data analysts or IT support if needed to ensure accurate data collection.\n\nBy following these steps, the Do phase ensures that you systematically implement and monitor your plan, setting the stage for a thorough evaluation in the Study phase.\u0022\u003E\u003Cdiv class=\u0022ac-container ac-adaptiveCard\u0022\u003E\u003Cdiv class=\u0022ac-textBlock\u0022\u003E\u003Cp\u003EThe \u003Cstrong\u003EDo \u003C\/strong\u003Ephase is where you put your plan into action. Here\u2019s a brief overview of what this involves:\u003C\/p\u003E\u003Ctable style=\u0022border-color:hsl(0, 0%, 60%);border-style:inset;\u0022\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl(0, 0%, 90%);\u0022\u003E\u003Cstrong\u003EImplement Your Plan\u003C\/strong\u003E: Begin by executing the changes you have planned. This could be a small-scale test, such as implementing a new notification system for a day or testing a new workflow in a single department. Remember, the plan does not have to be large-scale. It can be as small as one day, one activity, or one concept you want to test. This allows for manageable and focused testing.\u003C\/td\u003E\u003C\/tr\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl( 30, 70%, 87% );\u0022\u003E\u003Cstrong\u003EObserve and Document\u003C\/strong\u003E: Observe the implementation closely. Document what works, what doesn\u2019t, and any unexpected outcomes. This includes how the change fits into your system or workflow and any immediate impacts. Ask questions like, \u201cDid everything go as planned?\u201d or \u201cDid we modify the plan?\u201d Note how staff, patients, and those impacted react to the changes. Be prepared for the possibility that the change might not work as expected and document any modifications made to the plan.\u003C\/td\u003E\u003C\/tr\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl(0, 0%, 90%);\u0022\u003E\u003Cstrong\u003ECollect and Document Data\u003C\/strong\u003E: As you implement the plan, collect data to help you evaluate the effectiveness of the changes. Use tools like flowcharts, swim lane maps, or run charts to capture data and specific occurrences over time. Document the data related to the change you are testing. This might involve quantitative data, such as the number of notifications sent within a specific timeframe, or qualitative data, such as feedback from staff and patients.\u0026nbsp;\u003C\/td\u003E\u003C\/tr\u003E\u003C\/tbody\u003E\u003C\/table\u003E\u003Chr\u003E\u003Cp\u003EBy following these steps, the Do phase ensures systematic change idea testing and monitoring, setting the stage for a thorough evaluation in the Study phase.\u003C\/p\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Ccib-overlay\u003E\u003C\/cib-overlay\u003E\u003C\/div\u003E\u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EStudy\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E\u003Cp\u003EThe \u003Cstrong\u003EStudy \u003C\/strong\u003Ephase is where you analyze the results of your implemented plan to determine its effectiveness. Here\u2019s what this phase entails:\u003C\/p\u003E\u003Ctable style=\u0022border-color:hsl(0, 0%, 60%);border-style:inset;\u0022\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl(0, 0%, 90%);\u0022\u003E\u003Cp\u003E\u003Cstrong\u003EReview Data Collected: \u003C\/strong\u003EEvaluate the data collected to see if the improvement was successful on a small scale.\u0026nbsp;\u003C\/p\u003E\u003Cul\u003E\u003Cli\u003ECheck if the results align with the predicted outcomes. Examine quantitative data (e.g., numerical measurements) and qualitative data (e.g., feedback from staff and patients).\u0026nbsp;\u003C\/li\u003E\u003Cli\u003EUtilize various tools to review and evaluate the improvement visually. Tools like Pareto charts, control charts, or run charts can help you see trends and patterns in the data.\u0026nbsp;\u003C\/li\u003E\u003Cli\u003ELook for any unintended consequences and assess whether you met your measurement goals.\u0026nbsp;\u003C\/li\u003E\u003C\/ul\u003E\u003C\/td\u003E\u003C\/tr\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl( 30, 70%, 87% );\u0022\u003E\u003Cstrong\u003EDescribe Outcomes and Learnings: \u003C\/strong\u003ESummarize the outcomes and report what was learned from the activity. Describe the successes, problems, and unexpected outcomes. This aids in understanding the overall impact of the changes tested.\u003C\/td\u003E\u003C\/tr\u003E\u003C\/tbody\u003E\u003C\/table\u003E\u003Chr\u003E\u003Cp\u003EBy thoroughly analyzing the data and documenting your findings, the Study phase helps you understand the effectiveness of your plan. This prepares you for the final Act phase, where you decide on the next steps based on what you have learned.\u003C\/p\u003E\u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EAct\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E\u003Cp\u003ENext step decisions occur in the \u003Cstrong\u003EAct \u003C\/strong\u003Ephase based on the observations and measurements analyzed in the Study phase. Data and insights gathered in the previous phase inform the team to either:\u003C\/p\u003E\u003Ctable style=\u0022border-color:hsl(0, 0%, 60%);border-style:inset;\u0022\u003E\u003Ctbody\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl(0, 0%, 90%);\u0022\u003E\u003Cp\u003E\u003Cstrong\u003EAbandon\u003C\/strong\u003E: If the tested change did not lead to improvements, it\u2019s time to go back to the \u003Cstrong\u003EPlan \u003C\/strong\u003Ephase and test a different change idea.\u003C\/p\u003E\u003Cp\u003E*It\u2019s important to note that abandoning a change idea after a PDSA cycle is acceptable.\u0026nbsp;\u003C\/p\u003E\u003C\/td\u003E\u003C\/tr\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl( 30, 70%, 87% );\u0022\u003E\u003Cstrong\u003EAdapt\u003C\/strong\u003E: Make adjustments to the tested change and enter another PDSA cycle to test and measure improvements with the modifications if necessary.\u003C\/td\u003E\u003C\/tr\u003E\u003Ctr\u003E\u003Ctd style=\u0022background-color:hsl(0, 0%, 90%);\u0022\u003E\u003Cstrong\u003EAdopt\u003C\/strong\u003E: Implement the intervention as is and likely on a wider scale. The next step would be to manage the project implementation on a larger scale. After some time, return to the Plan phase to re-examine the process and identify further improvements.\u003C\/td\u003E\u003C\/tr\u003E\u003C\/tbody\u003E\u003C\/table\u003E\u003Chr\u003E\u003Cp\u003EReflect on the plan and outcomes. Document conclusions from this PDSA cycle. Whether the intervention worked or not, note what you learned and what can be done differently in the next cycle. If the intervention was successful, consider how to spread it across the entire practice and plan the next steps for broader implementation.\u003C\/p\u003E\u003Cp\u003E\u003Cem\u003EQuality improvement involves testing ideas that may not always work and learning from these efforts is valuable for future cycles. \u0026nbsp;\u003C\/em\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Cbr\u003E\u003Cbr\u003E\u0026nbsp;\u003C\/p\u003E\u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\n\n\u003C\/article\u003E\n\u003C\/div\u003E\n              \u003C\/div\u003E\n        \u003C\/div\u003E\n\n    \n  \n    \n  \n\u003C\/div\u003E\n\u003C\/div\u003E","settings":null},{"command":"scrollBottomCommand","nodeSelector":".js-node-contain-tab","scrollToSelector":".custom-tab-nav","message":"Provides an AJAX command for scrolling to the bottom of an element"},{"command":"insert","method":"replaceWith","selector":"#toolkit-additional-block-wrapper","data":"\u003Cdiv id=\u0022toolkit-additional-block-wrapper\u0022\u003E\u003Cdiv class=\u0022js-view-dom-id-1b3454ca22881c3ae21deba907a7db3b29ce0819bd80cb1da0a89e1331e79332\u0022\u003E\n  \n  \n  \n\n  \n  \n  \n\n  \u003Cdiv class=\u0022views-view-grid horizontal cols-4000 clearfix\u0022\u003E\n              \u003Cdiv\u003E\n                  \u003Cdiv\u003E\n\u003Carticle data-history-node-id=\u002242860\u0022 class=\u0022node node--type-section node--view-mode-teaser toolkit-sidebar\u0022\u003E\n  \n  \n\n  \n      \u003Cdiv class=\u0022field field--name-field-case-studies field--type-entity-reference\u0022\u003E\n              \u003Cdiv\u003E\n\u003Carticle data-history-node-id=\u002243860\u0022 class=\u0022node node-card node--type-case-study node--view-mode-teaser\u0022\u003E\n  \n  \n  \u003Cdiv class=\u0022card-case-study\u0022\u003E\n    \u003Cdiv class=\u0022case-study-primary_type icon-case-study\u0022\u003E\n      \u003Ch3\u003ECase Study\u003C\/h3\u003E\n    \u003C\/div\u003E\n    \u003Cdiv class=\u0022h3 sub-title\u0022\u003ECase Study: South Carolina\u0026#039;s 7-Spots QI PDSA\u003C\/div\u003E\n    \n            \u003Cdiv class=\u0022field field--name-body field--type-text-with-summary\u0022\u003E  \u003Cp\u003EThis case study serves as an example of how incremental changes in practices, guided by the PDSA cycle, can lead to improvements in patient care and outcomes. For more information, see the \u003Ca href=\u0022https:\/\/dev-newsteps.pantheonsite.io\/sites\/default\/files\/2025-01\/South%20Carolina%20QI%20PDSA.pdf\u0022\u003E\u003Cem\u003E\u003Cu\u003Ec...\u003C\/u\u003E\u003C\/em\u003E\u003C\/a\u003E\u003C\/p\u003E\n\n\u003C\/div\u003E\n      \n  \u003C\/div\u003E\n  \u003Ca href=\u0022\/case-study-south-carolinas-7-spots-qi-pdsa\u0022 class=\u0022link link-text mt-2\u0022\u003ERead Full Case Study\u003C\/a\u003E\n\u003C\/article\u003E\n\n\u003C\/div\u003E\n          \u003C\/div\u003E\n  \n      \u003Cdiv class=\u0022shadow-card--sidebar\u0022\u003E\n      \u003Cdiv id=\u0022block-block-section-related-resources\u0022\u003E\n  \n  \n        \u003Cdiv id=\u0022toolkit-related-resources-wrapper\u0022\u003E\u003C\/div\u003E\n  \u003C\/div\u003E\n\n    \u003C\/div\u003E\n  \u003C\/article\u003E\n\u003C\/div\u003E\n              \u003C\/div\u003E\n        \u003C\/div\u003E\n\n    \n  \n    \n  \n\u003C\/div\u003E\n\u003C\/div\u003E","settings":null},{"command":"insert","method":"replaceWith","selector":"#toolkit-related-resources-wrapper","data":"\u003Cdiv id=\u0022toolkit-related-resources-wrapper\u0022\u003E\u003Cdiv class=\u0022toolkit-related-resources js-view-dom-id-2ec7cd1bace09a4a46bfe3608ec7f3ed290d2f6efb031a1e5a0ab2c603e99510\u0022\u003E\n  \n  \n  \n\n      \u003Ch2 class=\u0022block-title\u0022\u003ERelevant Resource\u003C\/h2\u003E\n  \n  \n  \n\n  \u003Cdiv class=\u0022views-view-grid horizontal cols-4000 clearfix\u0022\u003E\n              \u003Cdiv\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resources\/webinars-events\/plan-do-study-act-pdsa-cycle\u0022 class=\u0022h3 icon-webinars node-related\u0022\u003EPlan Do Study Act (PDSA) Cycle \u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resources\/webinars-events\/project-charter-and-action-plan-quality-improvement-qi-webinar\u0022 class=\u0022h3 icon-webinars node-related\u0022\u003EProject Charter and Action Plan Quality Improvement (QI) Webinar \u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n              \u003C\/div\u003E\n        \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022views-element-container\u0022\u003E\u003Cdiv class=\u0022js-view-dom-id-4a9113147b625b2e400bfd47ce9229e58337e9130f75a516296b2b1babc85701\u0022\u003E\n  \n  \n  \n\n  \n  \n  \n\n  \u003Cdiv class=\u0022views-view-grid horizontal cols-4000 clearfix\u0022\u003E\n              \u003Cdiv\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/plan-do-study-act-pdsa-worksheet\u0022 class=\u0022h3 icon-educational-tools node-related\u0022\u003EPlan Do Study Act (PDSA) Worksheet \u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n              \u003C\/div\u003E\n        \u003C\/div\u003E\n\n    \n  \n    \n  \n\u003C\/div\u003E\n\u003C\/div\u003E\n\n  \n      \u003Cfooter\u003E\n      \u003Cspan class=\u0022link link-button js-link-series\u0022\u003EShow more\u003C\/span\u003E\n    \u003C\/footer\u003E\n    \n  \n\u003C\/div\u003E\n\u003C\/div\u003E","settings":null}]