Title of Plan-Do-Study-Act Cycle Cycle a.

2
(PDSA)

Plan
Plan team: Pain Management Improvement Team

Plan date: Three (3) Months Long for this PDSA Cycle.

Test objective

Based on the feedback and observations from the first cycle, the plan for the second cycle is to
address the identified barriers to regular administration of the Functional Disability Inventory (FDI)
in clinical practice.

Test scope and scale

Measurement, data and information collection plan

Evaluate the outcomes and effectiveness of the second cycle by gathering data and feedback:

1. Monitor the number of failed administrations of the FDI during the cycle, noting any
improvements compared to the first cycle.
2. Collect feedback from participating psychologists regarding the ease of administration, any
remaining barriers, and suggestions for further improvement.
3. Assess the impact of the implemented actions on clinician forgetfulness, considering the
reduction in occurrences and identifying any remaining factors that contribute to
forgetfulness.

Test prediction
What do you expect to happen in this cycle?

In this cycle, I would expect to see further improvements in the administration of the Functional
Disability Inventory (FDI) and addressing any remaining barriers identified in the previous cycle.
The planned interventions, including the clinician script, increased availability of FDI copies, and
involvement of an additional staff member for database management, aim to enhance the feasibility
and acceptability of using the FDI in clinical practice.
Plan for the test of change

1. Develop a clinician script to provide a standardized explanation for FDI use with patients.
2. Ensure that electronic and hard copies of the FDI are available in multiple locations,
including treatment rooms, chart areas, and offices.
3. Involve an additional staff member to assist with maintaining a database and filing system for
the FDI.
Do
Was the test carried out as written in the Plan?
If no, what actually happened?

Yes it was the process was as follows:

1. Develop the clinician script, incorporating input from all participating psychologists.
Ensure that it includes a clear explanation of the purpose and importance of the FDI
and instructions for its administration.
2. Make sure that electronic and hard copies of the FDI are distributed and accessible in
the designated locations.
3. Assign the additional staff member the responsibility of maintaining a database and
filing system for the FDI, ensuring that all completed assessments are properly
recorded and stored.

Was the measurement and collection of data and information carried out as written in the Plan?
If no what actually happened?
The outcomes mentioned, such as the number of failed administrations and the feedback from
participating psychologists, suggest that data and information were collected to evaluate the
effectiveness of the interventions implemented in the second cycle.

Study
Study team:

The Five (5) psychologists as well as stakeholders from the user group, preferably, the
children’s parents or guardians.

Study date:

1.5 Months into the study.

Did the test meet the predictions made in the Plan?

Evaluate the outcomes and effectiveness of the second cycle by gathering data and feedback:

1. Monitor the number of failed administrations of the FDI during the cycle, noting any
improvements compared to the first cycle.
2. Collect feedback from participating psychologists regarding the ease of administration, any
remaining barriers, and suggestions for further improvement.
3. Assess the impact of the implemented actions on clinician forgetfulness, considering the
reduction in occurrences and identifying any remaining factors that contribute to
forgetfulness.
Describe your analysis and findings from this cycle.
What did you learn?

The analysis and findings from the second cycle of the PDSA series can be summarized as follows:

1. Barrier identification: The first cycle revealed barriers related to feasibility, with clinician
forgetfulness being the primary factor contributing to failed administrations of the Functional
Disability Inventory (FDI). Other barriers identified included lack of access to the FDI in
treatment rooms, lack of a uniform method of introducing the FDI, and issues with scoring
and filing.
2. Planned interventions: The team implemented several interventions in the second cycle to
address the identified barriers. These interventions included developing a clinician script to
provide a standardized explanation for FDI use with patients, ensuring availability of
electronic and hard copies of the FDI in multiple locations, and involving an additional staff
member to assist with maintaining a database and filing system.
3. Improved outcomes: The second cycle showed positive outcomes compared to the first cycle.
The number of failed administrations decreased, with only four instances recorded across all
five participating psychologists in the pain program. This improvement indicates that the
implemented interventions, such as the clinician script and increased availability of FDI
copies, had a positive impact on reducing forgetfulness and increasing the likelihood of FDI
administration.
4. Feedback from psychologists: The participating psychologists provided verbal feedback on
their observations from the second cycle. While the article does not provide specific details
about their feedback, it can be inferred that the feedback was generally positive and indicated
that the barriers identified in the first cycle had been satisfactorily addressed.

Based on these findings, it can be concluded that the second cycle of the PDSA series was successful
in addressing the barriers identified in the first cycle. The interventions implemented in this cycle,
such as the clinician script and improved accessibility of the FDI, contributed to a reduction in failed
administrations and improved the feasibility and acceptability of using the FDI in clinical practice.
The feedback from psychologists further supported the effectiveness of the implemented
interventions.

These findings provide valuable insights for the improvement team, highlighting the importance of
addressing barriers and implementing targeted interventions to improve the adoption and integration
of measurement tools like the FDI in clinical settings.

Act
What are you going to do next?

Based on the evaluation and feedback from the second cycle, make necessary adjustments and
decisions for the next steps:

1. If the number of failed administrations has significantly decreased and clinician forgetfulness
has been addressed effectively, proceed to the next cycle with the current actions in place.
2. If there are remaining barriers or issues related to the administration of the FDI, brainstorm
and implement additional strategies to overcome them.
3. Determine if any modifications are needed to the clinician script, availability of FDI copies,
or the database and filing system based on the feedback received.