Abstract
Improvement Cycles in Medical Education: From Quality Improvement to Patient Care and Clinical Research
Highlights
PERSPECTIVE PIECEImprovement Cycles in Medical Education: From Quality Improvement to Patient Care and Clinical Research
One basic premise of the PDSA cycle is that improvement can be better achieved by iterative steps that are best visualized as a circular process
The improvement cycle framework regularly applied to quality of care can be repurposed for the optimization of patient care and clinical research
Summary
Improvement Cycles in Medical Education: From Quality Improvement to Patient Care and Clinical Research. Improvement cycles are regularly used by performance improvement teams to optimize patients’ outcomes by improving the quality of care. One of the best-known cycles for performance improvement in healthcare is the Plan-Do-Study-Act (PDSA) cycle (Figure 1a).[1] During the first phase, Plan, we identify barriers to optimal care, develop a plan to implement new interventions, and identify the outcomes that will be monitored; during the second phase, Do, the new interventions are implemented; during the third phase, Study, we measure the outcomes defined in the planning phase to assess improvement; and during the fourth phase, Act, we make changes to our practice before beginning the iteration of the cycle to improve implementation. The improvement cycle framework regularly applied to quality of care can be repurposed for the optimization of patient care and clinical research
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