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Plan: Repeated PDSA cycles toward the same aim …

Single Cycle PDSA Plan: 1. Assemble the team for this test. Willing volunteers are best. 2. Develop a theory and a plan by w orking through the fundamental MfI questions. Do: 1. Test your theory by carrying out the plan you ve developed. 2. Document observations and collect data. Study: 1. Study the data and observations from the test. a. Did the results match the predictions, or w ere there surprises? b. Was there an improvement? Act: 1. Decide on the best next steps based on w hat you learned in the current cycle. 2. Continue learning by running additional PDSA cy cles. 3. Never implement after only one PDSA. Repeated PDSA cycles toward the same aim are Multiple PDSA cycles 1. Scale up slow ly, commensurate w ith the degree of belief and concerns about cost of failure. 2. Remember: Y ou are testing a change on a small scale and increasing slow ly in order to reduce risk of implementing a sub-optimal change.

• Dr. Ong’s time per baby, and overall was nearly identical (~9 minutes / baby and 117 minutes overall). • Dr. Ong took ~120 fewer steps by rounding in -room.

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