PDSA Implementation Worksheet Practical Example

Project Title / Aim: Reduce Patient Wait Times in the Emergency Department


PDSA Method Presentation


1. Plan

Questions Answers
What is the problem or goal we are addressing? Long patient wait times in the emergency department.
What data do we need to collect? Current average wait times, patient arrival times, staffing levels, and patient satisfaction scores.
What resources are required? Staff time for data collection and analysis, software for tracking wait times, and training materials.
What are our success criteria? Reduce average wait times by 30% within 3 months.
What potential obstacles might we face? Resistance from staff, inaccurate data collection, and variability in patient arrival patterns.

2. Do

Questions Answers
What specific actions will we take? Implement a triage system, increase staffing during peak hours, and streamline patient check-in processes.
Who will be responsible for each action? Nurse Manager for triage system, HR for staffing adjustments, and IT for check-in process improvements.
What is our timeline for implementation? Start implementation next week and review progress bi-weekly.
How will we collect data during this phase? Use the hospital's information system to track wait times and patient feedback forms for satisfaction scores.
What issues or challenges arise during implementation? Initial staff resistance to the new triage system and technical issues with the check-in process.

3. Study

Questions Answers
What data have we collected? Data on wait times before and after implementation, staffing levels, and patient satisfaction scores.
How do the results compare to our expectations? Initial results show a 15% reduction in wait times, which is below our target but indicates progress.
What trends or patterns do we see in the data? Wait times are significantly lower during peak hours with increased staffing, but less impact during off-peak times.
Were there any unexpected outcomes? Patient satisfaction scores improved more than expected, despite the modest reduction in wait times.
What lessons have we learned from the results? Effective triage and staffing adjustments are critical, but additional process improvements are needed.

PDSA Method Presentation


4. Act

Questions Answers
What changes need to be made based on our findings? Further streamline the check-in process and explore additional ways to reduce wait times during off-peak hours.
Should we adopt, adapt, or abandon the plan? Adopt the successful aspects of the plan and adapt the less effective parts for further improvement.
How will we implement these changes? Continue with current triage and staffing adjustments, and start a new cycle focused on off-peak hours.
What is our plan for the next cycle? Focus on optimizing processes during off-peak hours and addressing technical issues with the check-in system.
How will we communicate the results and changes to stakeholders? Regular updates through staff meetings, emails, and a detailed report shared with the hospital administration.

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