Model for Improvement and PDSA

Model for Improvement

Model for Improvement was developed by Associates for Process Improvement and is used by the Institute for Healthcare Improvement (IHI) as their framework to guide improvement work. The model for improvement provides a framework for developing, testing and implementing changes leading to improvement. The framework includes three key questions to answer before testing an improvement concept and a process for testing change ideas.

The learning module will cover the details of the three key questions – AIM, MEASURE and CHANGE.

Model for Improvement gives us a framework for continuous quality improvement. It is a method for structuring an improvement project. If you are planning to carry out a QI project, this model will guide you to develop your idea and test using this simple framework. 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.

PDSA

Description

PDSA cycles were originally known as the Shewhart cycle, “Plan, Do, Check, Act”, and were based on manufacturing models. They were later modified by Edwards Deming to PDSA cycles. PDSA is a simple technique that allows us to introduce and test the impact of changes. It involves identifying, defining and diagnosing a problem, before developing solutions and implementing interventions that may address the identified issues. Possible solutions are then tested using small-cycle testing.

As the name implies there are 4 stages: Plan (the change), Do (implement the change), Study (assess the impact), Act (introduce if beneficial) and/or continue to refine.

The learning module will cover the details of the carrying out a PDSA cycle.

PDSA cycles are used to test out changes on a small scale, and sequential learning is built from these test cycles in a structured way before implementing on a large scale. This gives stakeholders an opportunity to see if the proposed change will succeed. It 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.

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