Plan-Do-Study-Act Implementation in Healthcare

Plan-Do-Study-Act (PDSA) Worksheet represents a tool for documenting an assessment of change. It is intended to evaluate the effectiveness of a change plan (Plan), implement the test (Do), acquire findings from the outcomes (Study), and identify modifications needed to be introduced (Act) (Yoder-Wise, 2019). Therefore, teams that need to document tests of change within their quality improvement initiatives at healthcare facilities will use PDSA Worksheets by filling them out for every test they carry out. The team will evaluate the impact of several changes, each of which will undergo a set of various PDSA cycles. The team will have access to both digital and physical copies of all relevant PDSA Worksheets for the changes that it implements.

In the future QI project, PDSA can be used to break down the necessary steps to be followed by the team. First, the plan of change will be identified, for example, conducting fifty employee satisfaction surveys per week to evaluate teamwork and recommend staffing increases. Relevant steps include displaying anonymous surveys at the front desk and encouraging nurses to participate (Scott et al., 2019). Second, observation points will be noted, such as other things that occupied nurses at the hospital or whether the team remembered to participate. Third, the worksheet will reflect the learned experiences, such as meeting the measurement goals. For instance, instead of fifty surveys, only thirty are collected. Finally, at the ‘Act’ stage, the nurse management team will be more proactive in encouraging nurses to participate in surveys once their hospital shifts are over. Also, the nurses will be asked to take surveys along with them and post or bring the completed sheets to the hospitals once they are done with them.


Scott, J., Heavey, E., Waring, J., De Brun, A., & Dawson, P. (2019). Implementing a survey for patients to provide safety experience feedback following a care transition: A feasibility study. BMC Health Services Research, 19(613). Web.

Yoder-Wise. P.S. (2019). Leading and managing in nursing (7th ed.). Elsevier.

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1. NursingBird. "Plan-Do-Study-Act Implementation in Healthcare." September 9, 2022.


NursingBird. "Plan-Do-Study-Act Implementation in Healthcare." September 9, 2022.