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PLAN DO STUDY ACT (PDSA) FORM

Cycle #:

Start Date:9/6/23 End Date:5/1/25

(
July 24,
2014
Credit to IHI Open School for Health Professionals for original form. Modified for
) (
Page
1
Revised:
)

Project Title:

Effectively managing Mental Healthlillness

In a medical surgical unit

State

NJ

Objective of this Cycle:

Project Lead:

xTask-related;

Task: Internal Process

Develop a Change

Test a Change

X Implement a Change

Aim Statement (WHAT YOU ARE TRYING TO ACCOMPLISH):

·

Specific– targeted population:

·

Measurable– what to measure and clearly stated goal:


Achievable- brief plan to accomplish it:

·

Relevant– why is it important to do now:

·

Time Specific– anticipated length of cycle
:

Test/Implementation Plan (THINK ABOUT WHAT CHANGES YOU CAN MAKE THAT WILL RESULT IN IMPROVEMENT):

What change will be tested or implemented? Include how change will be conducted, who will run it,

where it will be run and when it will be run unless already noted in Aim Statement above. (If needed, include specifics on tasks, responsibilities and due dates.)

Population:age 18-25 medical surgical unit

Prediction:

Implementing the multidisciplinary care team approach will lead to improved patient outcomes and satisfaction, as patients’ behavioral health needs will be addressed more comprehensively.

Data Collection Plan (THINK ABOUT HOW YOU WILL KNOW THE CHANGE IS AN IMPROVEMENT):

What data/measures will be collected? Who will collect the data?

· The nursing staff will collect patient satisfaction scores.

· The incident reports will be reviewed by the nursing manager.

· Length of stay data will be obtained from the hospital database.

When will the collection of data take place? Data will be collected continuously throughout the 3- month cycle.

How will the data (measures or observations) be collected and displayed? What decisions will be made based on data?

Data will be collected electronically and reviewed weekly by the project lead and team. The data will be displayed graphically to track trends and changes in patient outcomes and satisfaction. Decisions will be made based on the data to adjust the care team approach if necessary.

Activities/Observations
:

Record activities/observations that were done in addition to those listed in plan (above):

· Identified and trained multidisciplinary care team members.

· Developed standardized assessment and care plans.

· Conducted initial team meetings.

Questions: Copy and paste Prediction from Plan above and evaluate learning. Complete analysis of the data. Insert graphic analysis whenever possible.

Prediction: Implementing the multidisciplinary care team approach will lead to improved patient outcomes and satisfaction, as patients’ behavioral health needs will be addressed more comprehensively.

Learning (Comparison of questions, predictions, and analysis of data):

· Patient satisfaction scores increased by 12% within the first month of implementation.

· The number of incidents related to behavioral health issues decreased by 20%.

· Length of stay for patients with behavioral health/mental illness remained stable.

Summary (Look at your data. Did the change lead to improvement? Why or why not?):

The initial data suggests that implementing the multidisciplinary care team approach has had a positive impact on patient satisfaction and safety (Benjenk & Chen, 2018). However, further analysis and a longer observation period are needed to determine if the improvement is sustainable and if additional adjustments are required.

Describe next PDSA Cycle: Based on the learning in “Study,” what is your next test?

Continue monitoring and refining the multidisciplinary care team approach. Collect data for another 3 months to assess long-term outcomes. Consider additional training and support for team members if necessary.

References

Benjenk, I., & Chen, J. (2018). Effective mental health interventions to reduce hospital readmission rates: A systematic review. Journal of Hospital Management and Health Policy, 2, 45. doi:10.210

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