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The plan-do-check-act cycle is a continuous improvement model that is often used in quality management and Lean methodologies. The ongoing improvement is achieved through repeated iterations, with a focus on testing and ongoing refinement.
The 4-Step Model: Identify an aim for improvement, develop a plan to address the improvement need, measure impact, and adjust your plan. PDSA Cycles: Test a promising change rapidly on a small-scale, learn how it works, and refine (as needed) before implementing it broadly.
Step 1: Identify area for improvement.  Identify the area, problem, or opportunity for. Step 2: Assemble a team. Step 3: Identify current process. Step 4: Identify potential change strategies. Step 5: Identify improvement theory. Step 6: Test the theory. Step 7: Study the results. Step 8: Scale up implementation.
Using PDSA cycles can help clinicians deliver improvements in patient care through a structured experimental approach to learning and tests of change.
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The PDSA cycle, an essential component of the Model for Improvement, is shorthand for testing a change by developing a plan to test the change (Plan), carrying out the test (Do), observing and learning from the consequences (Study), and determining what modifications should be made to the test (Act).
The four steps of the PDCA process are in the name: planning, doing, checking, and actioning. Notably, this process is a cycle, so as soon as you reach the end, you can start over from the beginning again.

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