A10：如何有效利用PDSA循环实现可持续改进.pdf

1、A10.How to effectively use a PDSA cycle for sustainable improvementKaren Turner,Royal Free London NHS Foundation Trust;IHI(Faculty)Tricia Bolender,Institute for Healthcare Improvement(Faculty)Hello!Karen TurnerHead of Improvement,Royal Free London and Faculty,IHITricia BolenderFaculty,Institute for

2、Healthcare Improvement(IHI)We have no conflicts of interest to declare.1.Understand rapid-cycle PDSA testing2.Experience PDSAs in action3.Emerge with concrete ideas to use PDSAs for sustainable improvementLearning Objectives What are PDSAs?Where does it fit in the Model for Improvement My problem.Bu

3、ild knowledge of the change and issueBuild belief that the change will workEvaluate cost and side effects of changeAdapt changes to your settingStart small,think big and learn fastMinimise resistance when implementingWhy Test a Change?A cycle for learning and improvementActPlanDoStudy Objective(why)

4、Predictions(what do we think will happen)Plan to carry out the cycle(who,what,where,when)Carry out the plan Document problems and unexpected observations Begin analysis Adapt?Adopt?Abandon?Next cycle?Complete the analysis of the data Compare data to predictions Summarize what was learnedYour turn:to

5、uch the tennis ballLets get startedSplit into groups of 6 and identify recorder/timekeeper 1.Plan:Players have 30 seconds to plan test(first test will be your baseline)2.Do:Run your test and record time taken and note down observations3.Study:Review the time taken and observe the situation;discuss w

6、ith team what worked well&what didnt4.Act:Decide how to adapt your approach before running another PDSA cycle;what will you adopt,adapt,abandon?AimDecrease the time it takes for 5 people to touch the tennis ball in alphabetical order from a baseline of X seconds to Y seconds in 6attempts.MeasuresOut