Transcript: P. D. S. A. Presented by Christine Greene PLAN PLAN PROCESS OF CHANGE IMPROVEMENT IMPROVEMENT PATIENT SAFETY AND CARE BEDSIDE REPORTING BEDSIDE REPORTING HOW IT IMPROVES CARE -IMPROVES PATIENT SATISFACTION HOW IT IMPROVES CARE HOW IT IMPROVES CARE - BETTER COMMUNICATION - ABILITY TO ASK QUESTIONS - REDUCES MEDICATION ERRORS - IMPROVES PATIENT SATISFACTION - HOW IT IMPROVES CARE STAKEHOLDERS STAKEHOLDERS -PATIENTS FAMILY MEMBERS -NURSES -PHYSICIANS TIMELINE TIMELINE 2018 WEEK 3 WEEK 2 WEEK 4 WEEK 1 patient satisfaction Label 1 Label 2 Label 3 Label 4 patient satisfaction DO DO STUDY STUDY ACT ACT
Transcript: PDSA What is it? The model for improvement provides a framework for developing, testing and implementing changes leading to improvement. It is based in scientific method and moderates the impulse to take immediate action with the wisdom of careful study. Using PDSA cycles enables you to test out changes on a small scale, building on the learning from these test cycles in a structured way before wholesale implementation. This gives stakeholders the opportunity to see if the proposed change will succeed and is a powerful tool for learning from ideas that do and don’t work. This way, the process of change is safer and less disruptive for patients and staff PDSA WHAT IT'S? When to use it When planning any improvement or change to work processes, it is essential to know what you want to achieve, how you will measure improvement and to be explicit about the idea to be tested. You may not get the results you expect so it is safer and more effective to test out improvements on a small scale before implementing them across the board. Text Steps in the PDSA Cycle Steps Step 1: Plan Plan the test or observation, including a plan for collecting data Step 2: Do Try out the test on a small scale. Step 3: Study Set aside time to analyze the data and study the results. Step 4: Act Refine the change, based on what was learned from the test. Increasing confidence An idea is only potential; it could result in positive outcomes or negative ones. Finding flexibility Testing creates time to adapt change to local conditions. Identifying side-effects Every action can have an opposite reaction, and QI work is no different. Minimizing resistance People are creatures of habit and will often resist change, especially if they’re presented with something completely new ADVANTAGES advantages Use the Plan-Do-Study-Act (PDSA) Worksheet to help your team document a test of change. Fill out one PDSA Worksheet for each test you conduct. Your team will test several different changes, and each change will go through several PDSA cycles. Keep a file (either electronic or hard copy) of all PDSA Worksheets for all changes your team tests. directions Directions
Transcript: PDSA its an association that help animals that are sick This type of animals need help This association operates on Great Britain This association stops the killing animals that are in extintion and the ones that arent too some questions?
Transcript: Increase Flu Vaccine Compliance: PDSA Powerpoint STUDY PLAN Survey results: https://docs.google.com/a/smartech-csi.com/forms/d/1oK1SAVizyIcfBur1Obj_pwVI-oje-hHsMhE9OBKre2g/edit#responses Of my 26 responses, exactly 50% got the flu shot last year and only 38.5% have gotten it so far this year. Of those that haven't yet received the shot this year, 40% say that they are planning to. Nearly 70% realize it is covered by insurance yet 55% say they will not be getting the vaccination. I did not ask for names in the survey. This was a mistake in hind-sight because I was left not knowing who had not replied. I received 20 responses the first time I sent it out and an additional 6 more when I resent. When comparing sick time counts between this year and last year, our census was drastically different. Last year we had 52 active employees at year end. Today we have 41. This makes it hard to really know if fewer employees are taking sick time. Aim of this initiative: Gather baseline data on who has and hasn't already gotten the flu vaccine this season Email all employees a survey to determine whether or not they've gotten the flu shot and/or plan to if they haven't already done so. Look up historical data to determine sick time used during the 2015-2016 flu season I predict initially poor compliance and I will need to follow up Increased compliance with flu vaccination for the 2016-2017 season in order to decrease absenteeism and protect our employees and those they come in contact with. Survey Link https://docs.google.com/forms/d/e/1FAIpQLSf_kFSyu6RQyEqI6t7rAYCgYD1BlLYuuAhfuqfHZKB_J73DAA/viewform Sick time used last flu season 10/01/2015 to 03/01/2016: ACT Total of 264 hours DO Adapt - resend the survey and ask for names this time so that I am able to follow up with those that do not comply. Adopt - I am considering sharing the results of the survey and also sharing some more information about the safety of the shot. According to my survey results, there are still some that think the vaccine causes illness. I will send another email offering to pay the cost of the vaccination for any uninsured employees, per management's approval. Received 26 replies to my survey which is 63% of our staff Hung up poster in the breakroom encouraging flu vaccination Received my own flu vaccination in order to set a good example Created a spreadsheet to track active employees that used sick time during the '15-16 flu season Conclusions I learned that there are still many people that do not fully understand the flu vaccine and the benefits of it. I feel more strongly than ever that education is imperative to improve the health of our staff and our company. Being armed with knowledge is the best way to achieve change. By being able to provide management with numbers, they were very willing to back my project. I still have some resources available to me to increase compliance The CEO will cover the cost of the shot for those that are uninsured, if needed. I can look up nationwide clinics that will provide the vaccine in the employee's local area such as Walgreens, CVS, etc.
Transcript: 1. Test the plan. 2. Monitor outcomes. 3. Examine success. 4. Look for new lessons or problems to solve. PDSA Board Examples PDSA Presented by: Stacey, Kathy, & Laura What is PDSA? 1. What teaching methods need to be adjusted? 2. What do we need to learn more? 3. What can we do to better meet our goal? Plan 1. Plan activities to meet the goal. 2. Carry out the activities. 3. Plus/Delta: Determine what worked and what didn't work with each activity. 1. Identify purpose and goals 2. Define measures of success and how to measure them Examples Do Owning Your Learning Examples Examples Examples Act Study Mission Statement Going through the steps of the cycle is how we help students reach the mission statement. Plan... Do... Study... Act...
Transcript: Problem: Sophie jumps on Kattie when Kattie gets home from work Aim statement: Kattie will test different interventions including; avoidance, reward and punishment to help Sophie contain her excitement to less than 1 jump per week when Kattie comes home with inital results by April 3rd 2013. 1:1:1 When Measurement Adopt What Who Adapt Abandon Where
Transcript: Pet fit camp is a club that encourages pet owners to keep their pets healthy and to help over weight pets loose weight. Our Priorities The fundamental long-term priorities are: 1.Maintenance of existing PDSA PetAid services on a stable, sustainable and long-term basis. 2.Expansion of PetAid services in line with a clear and controlled Business Plan as widely as funds and circumstances permit. 3.Encouragement of funding, by raising awareness and developing an understanding of our work. 4.Delivery of pet health initiatives. https://www.google.com/maps/search/MAP+of+PDSA+hospitals+in+UKemail@example.com,-2.9379527,6z The PDSA.... How we use each pound: What is the PDSA? Patrons of the PDSA Pet Fit Camp 83p goes directly to caring for sick and injured animals 17p is used to generate further donations and fund raising The Aims : Every pound counts Joanna Page Simon Cowell Unlike the RSPCA, the PDSA re-homes as many pets as possible and will NEVER put a healthy animal down. Sir Elton John Our Mission To care for the pets of people in need, by providing free veterinary services to their sick and injured animals and promoting responsible pet ownership. PDSA PDSA vs RSPCA Let's watch this clip and see.
Transcript: STUDY: you study the outcome. Look at what happen. Include observation, monitoring, measuring and study the data you collect analyzing the results. WHAT IS IT? ABOUT PDSA... Diego Bahena, Natalia Barreiro, Isabel Becerra, Eduardo Doniz, Andrea Moreno y Yorgos Mabragañis. ACT: take action which is based on the results you got. Unknown. (2016). Plan-Do-Chek-Act (PDCA) Cycle. November 6th, 2017, of ASQ Web Site: http//asq.org/learn-about-quality/project-planning-tools/overview/pdcacycle.html VALIDITY: there is not a time lapse for this process because it is a cycle so once it finishes, it most start over. VERIFICATION: customers can't see whether a business use a Quality Aid but the business itself can measure through the process if it is working or not. This quality aid it's a four-step model for carrying out change, its acronym is PDSA which means PLAN-DO-STUDY-ACT. This is a cycle so it has no end. It should be repeated for continuous improvement of the process and the product. It is simple but EXTREMELY powerful, the more you use it, the more you improve. Is based on the scientific method, as developed from the work of Francis Bacon. W. Edwards Deming make it popular, he is considered as the father of modern quality control. It was first called as "Shewchar cycle" but Deming modified it to PDCA or PDSA. PDSA cycle IT HAS NO TYPES THANKYOU YOU DON'T UNDERSTAND? DO: do the tasks and activities that you planned in the previous step. BIBLIOGRAPHY LET'S SEE A VIDEO... LET'S SEE ANOTHER ONE... THE PROCEDURE IS... PLAN: plan what you want to achieve, what outcomes you want. Unknown. (2011). PDSA Cycle. November 6th, 2017, from ISO Web Site: http://www.iso9001consultant.com.au/PDCA.html
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