Table 1

PDSA cycle fidelity assessment

PDSA cycle conduct principleFidelity assessment (yes/no)PDSA cycles included in the analysis
DocumentationWere all cycle stages of the PDSA cycle documented?All initiated PDSA cycles (PDSA cycles with a documented ‘Plan’).
Was the ’Study’ stage documented in the past tense (indicating that the PDSA cycle was executed)?All fully documented PDSA cycles.
Learning activityWas the PDSA cycle used to structure a learning activity (cycle documenting a test of change or collection of information)?All fully documented PDSA cycles.
PredictionWas an explicit prediction documented?All fully documented PDSA cycles describing a learning activity.
Iterative cyclesWas the PDSA cycle within an iterative series of PDSA cycles?All fully documented PDSA cycles.
Incremental testing scaleWas the PDSA cycle within an iterative series of PDSA cycles increasing scale?All fully documented PDSA cycles within an iterative series.
Use of data over timeWas the PDSA cycle within an iterative series of PDSA cycles using regular data over time?All fully documented PDSA cycles within an iterative series.
  • PDSA, Plan-Do-Study-Act.