PDCA Worksheet
Plan
District Hospital: Samastipur Date of meeting: This cycle will be used to: test a change implement a change
Collaborative Aim: To improve respectful maternity care through implementation of the normal delivery consent before delivery in
view of RMC at District Hospital Samastipur from April 2020 to June’ 2020
PDSA cycle # for this change 1st Start date: 1 /04/2020 End date: 30/06/2020
What is the prediction for this test of change (PDSA Aim):
METHOD Man
Consent
not filled
in cases
sheet
External resources Material
Man
According to delivery load fewer nursing staff.
No Prior delivery counselling done by nurse duty staff
Ignorance issue
Attitude issue
Method -
No Prior counselling done by on duty staff
Material -
Non availability of case sheet
Plan : To improve Implement the Normal delivery consent prior to delivery in in view of RMC at District Hospital from April
2020 to June 2020
Do ( Activities )
List the tasks needed to set up this test of change – HOW Who - Person Responsible When to
be done
1- According to delivery load prepare the duty roster. District Superintendent 01/04/20
2- Come back Amanat trained nursing staff in duty roster District Superintendent 01/04/20
3- Given the training all nursing staff/ EMT by Cemonc nurse mentor. Cemonc mentor 10/04/20
4- Uninterrupted supply of case sheet Hospital manager 01/04/20
5- Circulation from District superintendent level for prior counselling District Superintendent In Quality
of Patients and their attendants must circle team
6- Another high risk consent implemented for critical cases meeting
Study Describe the measured results and how they compared to the predictions.
What does the data show? Improvement No improvement worsened performance sustained improvement
Were your predictions confirmed? Yes No
If not, what did you learn?
Data collection plan
Name of process Name of indicator Data source/where How will the data be When will data Who will collect the
collected be collected – data/Person
frequency (daily, responsible
weekly, per shift,
etc.)
Outcome indicators Percentage of consent Case sheet Daily In charge Daily On duty staff /
filled =Total number of nurse audit the last Cemonc mentor
consent filled at case days case sheet monitored daily
sheet /Total number of
normal delivery *100
April =104/196*100=53%
May =400/438*100=91%
June =369/391*100=94%
Act Describe what you will do per the STUDY of result available. Will you Adopt Adapt Abandon this change?
What is the plan for the next cycle(s)?
Recurrent monitoring required for continuation
Continue documenting each test until you’re confident that your change achieves the results you want and is truly sustainable.
