Plan-Do-Study-Act Worksheet
A PDSA worksheet can help plan, organize and track the testing process. This Plan-Do-Study-Act Worksheet is also available in Word format (doc, 1 page)
Team Name: ___________________________
Overall team/project aim: _____________________
Start date: ______________________________
End date: ________________________________
What is the objective of the test?
What do you predict will happen?
Plan
Briefly describe the test:
How will you know that the change is an improvement
| List of tasks, including data collection, necessary to complete the test (what) | Person responsible | When | Where |
|---|---|---|---|
Do: Test the change interventions
- Was the cycle carried out as planned? Yes No
- Data and observations recorded and attached? Yes No
- What did you observe that was not part of the plan?
Study: Assimilate and summarize lessons learned
Did the results match your predictions? Yes No
Compare the result of your test to your previous performance:
What did you learn?
Act: Decide to adopt, adapt or abandon
Adapt: Refine the change based on what you have learned and continue testing. List plans/changes for the next test.
Adopt: Select changes to implement on a larger scale. When ready, use additional PDSAs to implement change across the whole system. Develop an implementation plan and plan for sustainibility.
Abandon: Discard this change idea and try a different one. List the different change interventions.
Adapted from: Institute for Healthcare Improvement, How to Improve - Improvement Methods at : http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove/
