Curing PDSA PhobiaMaking PDSA Easy as PIE

Beth HercherLaurie GyscekBarbara Meadows

• Plan—What is the situation or problem?

• Do-- What did I do about it?• Study—Did it work?• Act—Based on what I learned,

what am I going to do now?

Plan-Do-Study-Act (PDSA)What it Really Means

Plan-Do-Study-Act (PDSA)The building block for change“That’s too complicated; I don’t have time for things like that.”

“I’ve got patients to care for and situations to deal with.”

Plan-Do-Study-Act (PDSA)The building block for change, cont.

“I don’t have time to do PDSA cycles; I’m too busy trying to solve all these problems!”

Curing PDSA Phobia

It’s simple as…

P I E

Plan Implement Evaluate

Plan:• Identify the problem.• What steps you will take to try to fix the problem?• Different actions? • New interventions? • Different equipment?

Implement:• Put your plan into action.• Test your interventions.

Evaluate:• Did your plan work?• Yes? OK, what now?• No? Why not?• What else can we try?

Your answers will lead you right back to…

P I E

Your next P I E cycle…Plan – Implement –

Evaluate

Comparing PDSA with PIEPDSA PIE What it Means

Plan Plan What are we going to do?

Do Implement

Put the plan in motion

Study

Evaluate Did the plan work?

Act Based on what we learned, what will we do next?

Nursing Home Patient Safety Teams 1-800-528-2655

Thank You!

This presentation and related materials were prepared by QSource, the Medicare quality improvement organization for Tennessee, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the Department of Health and Human Services. Contents do not necessarily reflect CMS policy.QSOURCE-TN-PS-2009-09