questions

N815 – PDSA CYCLES WORKSHEET

Cycle Report Out Template

· Original work. No plagiarism, you will use this same worksheet 2 more times for a total of 3 worksheets (i.e 3 cycles).

· You must show how you made changes in each cycle (the progression)

· What questions did I ask the Nurses and doctors during the cycle

· You must state what measure did you use? Ex shown in pic

Project Name: Efficacy of antibacterial foam dispenser in comparison to soap and water for handwashing for controlling healthcare-associated infections.

Student:

PICO Statement: In healthcare (P), how does antibacterial foam dispensers (I) compared to water and soap (C) affect the spread of bacteria and help decrease infection O) during the month of October 2022.

Objectives and Measures:

Cycle Number: 1

PLAN: Plant the test, include a plan for collecting data.

Questions and Predictions:

Who, What, Where, When (duration):

Who:

What:

Where:

When: October 1,2022 thru October 31, 2022

Plan for collecting data:

DO: Run the test of a small scale.

Describe what happened. What data did you collect? What observation did you make?

STUDY: Analyze the results and compare them to your predictions.

Summarize and reflect on what you learned:

ACT: Based on what you learned from the test, make a plan for your next step.

Determine what modification you made to adapt, adopt, or abandon?