PSDA Cycle Quality Improvement
Task – Quality Improvement (QI) poster
PDSA cycle for quality improvement
This is a poster related to QI improvement. The chosen area for improvement is pressure injuries (PI). I have provided the aim (SMART goals) below. Please read through SMART goals. I have also provided some components of QI project. The requirement is to write quality improvement cycle – Apply PDSA to this given idea, (PLAN, DO , STUDY, ACT). 250- 300 word is enough. With in text citations included. APA 7th referencing. Must be current references.
For more information about PDSA cycle
When implementing the PDSA quality improvement cycle for a clinical practice improvement project, we need to follow these steps:-
1) Clarify the problem
– If there is no problem, don’t change anything. If there is need, you need to explore the diagnostics to assist with appropriate and targeted interventions.
– Communicate the need for change with the team and managers. You need to be able to ‘sell’ the value of your quality improvement project.
2) Establish the project team
– Get engaged and motivated individuals together. But make sure it is not all ‘yes’ men! There is value in having some sceptics, who will question and challenge you.
– Consider if you need any content experts.
3) Clarify the project governance
– Need to establish support from management/leaders. They can provide vital information, permissions, support, resources etc.
4) Project AIM (What are we trying to accomplish?)
– This needs to be a SMART aim.
– Specific, Measurable, Achievable, Relevant, Time-framed
5) Measurement (How will we know the change is an improvement?)
– Measurement of the data collected. In some cases you may need formal data analysis
6) Testing (What changes can we make that will result in an improvement?)
– Trials of interventions, simple to complex. Can test a series of different interventions if needed. PSDA Cycle Quality Improvement
The Model for Improvement is based on a ‘trial-and-learning’ approach to improvement. The Plan-Do-Study-Act (PDSA) cycle is a method for testing a change – by trying it, observing the consequences, and then learning from those consequences.
- Plan a change. Teams plan what they will do as a small test of change. What they expect to find? When are they going to do it? Who will do it? Where will it be done?
- Do. Implement a trial. Carry out the plan. Document problems and unexpected observations.
- Study. Review the outcomes/analyse the data. Compare this to what you thought would happen. Summarise what you learnt from the results.
- Act. Try again and spread the change
SMART goals
Specific – To reduce incidence of pressure injuries in a subacute setting through the implementation of a pressure injury checklist
Measure – 80% – preventable
Achievable
On admission skin assessment
- Referral to a physio (if needed)
- Correct documentation
- Risk assessment
On ward daily skin assessment
- 2 hourly reposition
- encourage mobilisation
- Encourage hydration and nutrition
- Ensuring that when ADLs are attended, skin is clean, dry and moisturise
- Daily PI/wound checks
- If pressure sores evident, ensure to apply heel wedges, limb protectors and blanket cradle
- Daily wound dressing as per hospital protocols
- Wound chart, pain chart
- Monitor hydration and intake
- Underlying causes including diabetes
Realistic – yes
Time frame – Over 6 months
Components:
- Education and training of staff
- Patient education (education pamphlet)
(including patient centred care by informing what the plan is)
- Patient education (education pamphlet)
- Improving safety checklist
- bedside/hardcopy (patient)
- Reminder of high-risk areas at handover (staff)
- Skin inspection of high-risk areas at handover
- Patient education
On checklist
- Repositioning (left/right side, SOOB)
- Education done (yes/no) patients? Staff?
- Things implemented (heel wedge, barrier cream, protective dressing, air mattress)
- Level of risk (high, mid, low) Independent
QI Components:
- Education for staff and or consumers
- Policy/procedure change
- New equipment
- Audits