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Planning Nursing Care I

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Related Experiment Video

Updated: Jun 9, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Using a Plan-Do-Study-Act cycle to introduce a new or service line.

Don K Nakayama1, Timothy N Bushey, Irene Hubbard

  • 1Department of Surgery at Mercer University School of Medicine, Macon, GA, USA.

AORN Journal
|September 7, 2010
PubMed
Summary

A quality improvement initiative using the Plan-Do-Study-Act (PDSA) cycle enhanced pediatric surgery services. This approach improved team performance and patient transfers while reducing operational issues.

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Area of Science:

  • Healthcare Management
  • Surgical Services
  • Quality Improvement

Background:

  • Implementing a high-quality pediatric surgery service line requires a structured approach.
  • Multidisciplinary teams are essential for comprehensive service delivery.

Purpose of the Study:

  • To implement and evaluate a high-quality pediatric surgery service line using a Plan-Do-Study-Act (PDSA) cycle.
  • To identify and address clinical, process, and operational challenges within the service line.

Main Methods:

  • A one-year Plan-Do-Study-Act (PDSA) cycle was initiated in 2008.
  • Goals, objectives, and performance metrics were defined.
  • Monthly case reviews and data aggregation were performed to identify and resolve problems.

Main Results:

  • Improvements were observed in team performance and communication.
  • Patient transfer processes were enhanced.
  • Problems related to instruments, supplies, equipment, and surgeon tardiness were reduced.

Conclusions:

  • The PDSA cycle effectively improved the pediatric surgery service line.
  • Continuous monitoring and data-driven adjustments are key to enhancing surgical service quality.