Question

A nurse is using the Plan-Do-Study-Act (PDSA) strategy to do a quality improvement project to decrease patient falls on a nursing unit. What is the correct sequence for PDSA?1. Bedside change of shift report is piloted on two medical-surgical units2. Patient satisfaction levels after implementation of the bedside report are compared to patient satisfaction levels before the change3. The nursing council develops a strategy for bedside change of shift report4. After modifications are made in the shift report elements, bedside shift report is implemented on all nursing units

Answer 1

The PDSA cycle begins with planning the strategy, follows with piloting the change, then studying the outcomes via patient satisfaction levels, and concludes with full implementation after making necessary adjustments.

Step-by-step explanation:

The correct sequence for the Plan-Do-Study-Act (PDSA) strategy to decrease patient falls on a nursing unit in the given scenario goes as follows:

The nursing council develops a strategy for bedside change of shift report.

1. Bedside change of shift report is piloted on two medical-surgical units.
2. Patient satisfaction levels after implementation of the bedside report are compared to patient satisfaction levels before the change.
3. After modifications are made in the shift report elements, bedside shift report is implemented on all nursing units.

To illustrate, initially the team plans the change by developing a strategy (Plan), then they enact a small-scale pilot (Do), followed by studying the results through comparison of patient satisfaction levels (Study), and lastly, they Act by implementing the improved process across all units.