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Click ‘Get Form’ to open it in the editor.
Begin by filling in the Cycle #, Start Date, Project Title, University/Organization Name, and Health System Sponsor Name at the top of the form.
In the 'Objectives of this Cycle' section, select whether you are testing, implementing, or spreading a change. Provide a short objective for clarity.
Move to the 'PLAN' section. Detail what change will be tested or implemented and outline how this will be conducted. Specify who will run the test and where and when it will take place.
List your predictions in the designated area. This helps in evaluating outcomes later.
In the 'Data Collection Plan', identify what information is crucial to collect and why. Assign roles for data collection and analysis.
Record observations during implementation in the 'DO' section. Note any adjustments made to your original plan.
In the 'STUDY' section, copy questions and predictions from your plan and analyze your data thoroughly.
Finally, describe your next PDSA cycle based on insights gained from your analysis in the 'ACT' section.
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