The Model for Improvement
Although at first glance the Model for Improvement (Langley et al 1992) appears simple in its design, it is actually quite comprehensive in its ability to achieve changes. The model has three basic questions and an implementation tool which is the Plan-Do-Study-Act cycle (PDSA) mentioned above. This tool, combined with the three questions, helps the user set the aims, set the measures and identify ideas for change. The key of PDSA is to test small changes rapidly to build knowledge through learning what works and what does not. It allows the user to test and refine in real time. A key mistake is to scale the PDSA up too quickly. For example, the idea is to test one patient within one ward/clinic with one doctor and then re-test quickly, building up to full scale implementation in small increments.
Access the NES Q Zone for further information on the Model for Improvement/PDSA
https://learn.nes.nhs.scot/2959/quality-improvement-zone/qi-tools/model-for-improvement
Video clips - the Model for Improvement/PDSA
- The Model for Improvement IHI Open School
- Plan-Do-Study-Act (Part 1) IHI Open School
- Plan-Do-Study-Act (Part 2) IHI Open School
- Quality Improvement in Healthcare Doctor Mike Evans
To access a blank PDSA template for your own project please click on the document below and download.
Please click on the completed example of a PDSA template and download to assist you in completing the blank template above.
