Stage | Time | ||
Pre-intervention | 2 months | Baseline audits of appropriate urinary catheterisation Baseline audits of documented physician order | |
PDSA 1 | Months 1–6 | Personal abilities Structural abilities | Education Create a consensus-based appropriate catheterisation criterion Adapt Leis et al algorithm Visual cues ‘reminder stickers on urinary catheters’ collection bags’ |
PDSA 2 | Months 7–12 | Personal motivation Personal abilities Social motivation Social abilities Structural motivation Structural abilities | Huddles Sharing stories Education Nurse champion was employed Physician champion was employed Huddles Recognition by management Presenting to quality committees Medical directive launched Reporting back results Visual cues ‘wall posters’ |
Additional interventions were added with each subsequent stage.
PDSA, Plan-Do-Study-Act.