Summary of PDSAs.
| # | Plan/Do | Study | Act |
|---|---|---|---|
| 1 | Goal write-down and read-back on RN bedside sheet | Unclear if beneficial during small trial, bedside staff unsure what to write down | Adapt |
| 2 | Full unit trial of goal-write-down and read-back on RN bedside sheet with prompts added | Only visible to the bedside RN No change in REACT scores | Adapt |
| 3 | Goal write-down and read-back using 1 whiteboard | Favorable response from staff regarding improved visualization, but inconsistent use | Adapt |
| 4 | Goal write-down and read-back using 5 whiteboards | Favorable response from staff and parents regarding improved visualization, but inconsistent use | Adapt |
| 5 | Goal write-down and read-back using 5 whiteboards, extended x 3 months, with focused discussion about goals at the end of rounds | Improvement in REACT scores Difficulty with categories wiping off the boards or smudging Large goals whiteboards did not fit with the permanent CCHMC family communication boards | Adapt |
| 6 | Goal write-down and read-back on 1 legal size laminated sheet | Smaller sheets are more mobile, no issues with categories wiping off Compatible with CCHMC family communication board. Concern was voiced regarding potentially reduced visibility of goals | Adapt |
| 7 | Goal write-down and read-back using 3 legal size laminated sheets | REACT scores maintained | ADOPT |