Plan Do Study Act (PDSA) template

Use this template to plan and progress quality improvement activities.

Topic: Patient-reported experience measure quality improvement activity

Focus area: [insert your focus area]

Step 1. The 3 fundamental questions

What are we trying to accomplish? By answering this question, you will develop your goal for improvement.
How will we know that a change is an improvement? By answering this question, you will develop measures to track the achievement of your goal.
What changes can we make that can lead to an improvement? List your ideas for change. By answering this question, you will develop the ideas you would like to test to achieve your goal

Step 2. Plan, Do, Study, Act

Complete this section for each PDSA cycle you undertake.

Describe the idea you are testing: refer to the fundamental question, ‘What are we trying to accomplish?’
PLAN	What, who, when, where; predictions; and data to be collected
Practice team meeting to be held: [insert date]
Discuss analysed PREM results Agree on focus area Agree plan of action
DO	Was the plan executed? Document any unexpected events or problems
STUDY	Record, analyse and reflect on the results
ACT	What will you take forward from this cycle? (next step / next PDSA cycle)