| Plan | Evaluate all steps involved in completing discharge summaries. Prepare a list of steps involved. Arrange for doctors to receive training in use of electronic discharge summary software while we are still using paper-based summaries.
| Project team | July 2016 |
| Do | | Doctors, IT department | Training sessions were held between August and October 2016, coinciding with new juniors joining the department in August 2016. |
| Study | 86% of doctors working in the department received the training. Obtain feedback from doctors regarding the utility of the training. As expected, training does not increase completion rates as we were still using an interim paper-based system. Identify further barriers to change with a second coalition meeting—lack of computer terminals identified as a barrier.
| Project team and coalition | November 2016 |
| Act | Training was made a part of induction for new doctors joining the department. Clarify queries from coalition members. Plan to obtain new computer terminals.
| Project team and coalition | December 2016 |