But it so happens that sometimes what the staff's thinks as quality care does not always agree the patient's satisfaction.
PDSA (Plan, Do, Study, Act) cycle is also known as PDCA (Plan, Do, Check, Act) cycle, which also called the Deeming wheel, or cycle. The Deeming wheel is used by organizations that are continuously engaged in continuous improvement to train their employees or staff in problem solving matters. Continuous improvement is a process that seeks ways to improve the operations of an organization. When implementing a continuous improvement concept in a hospital or a health care centre the management of that institution must follow some procedures. 1) Train the staff of the hospital or health care centre in the methods of improving quality and their performance when dealing with patients. 2) The staff should make statistical process control method a daily part of their operations and tasks. 3) The management should make work teams and involve the staff. And introduce problem solving in the work teams.
Plan is the first step in the Deeming Wheel. Plan basically means that to make a strategy or plan ahead before a change and to predict the result and then analyze it. Therefore when planning the team basically selects a process for example an activity like when an emergency is bought in the ER the nurse monitors and checks the vital signs of the patient and prepares the patient for treatment. Therefore the improvement to take place the management has to make sure the nurses in the ER are trained for the any kind of emergencies and the ER is fully equipped and the staff is on alert because the patients need to be treated quickly ad efficiently.
Do is the second step in the Deeming Wheel. Do basically mean that the team implements the plan and then it monitors the process. For example q patient is brought in the ER with a heart attack problem. The patient will receive immediately oxygen and will have an ECG as soon as possible. Therefore with the right kind of equipment and the staff well trained only then the patient's life will be saved.
Check is the third step in the Deeming Wheel. Check basically means that the staff or the team basically analyses the data that was collected during the Do step to basically find out that the results match to the predicted result in the plan step. It the staff of the ER is well trained and the ER is fully equipped and when the patient does arrive with a problem and is quickly dealt with the right kind of treatment and it the result of this outcome matches with the prediction then the institution is right on track with the continuous improvement process.
Act is the fourth step in Deeming Wheel. Act basically means if the results are successful then this process becomes a standard procedure in the Emergency Room to train the staff how to deal with the patients and to have the ER fully equipped with the right kind of machines and instruments.
1) Plan-Do-Check-Act Cycle. Accessed from www.asq.org on June 5, 2008
2) Krajewski, Lee J., & Ritzman, Larry P. (2002). Operations Management: Strategy & Analysis. 6th Edition. Prentice Hall.