Plan-Do-Study-Act (PDSA) test of change
| PDSA cycle 1 | PDSA cycle 2 | PDSA cycle 3 | PDSA cycle 4 | |
| Antimicrobial stewardship | Visual tools Chart review | Expand audit tool Feedback to mentor | Continue hospital wide Modify tool Identify use of ID consultation | In-service nurses Post protocol and steps to find protocol |
| Patient postdischarge comprehension audit | Discharge instruction Comprehension tool | Modify tool Pilot tool to all discharges | Implement modified tool Include family members | Modify tool Ask for participation nurses |
| Environmental Safety | Environmental tool for contact precautions | Post current results Recommendations from staff. | Post results to the QI team. Assess compliance on nights | Continue tool Survey patients on contact precautions |
| Teamwork engagement | Weekly questions | Continue weekly questions. First edible reward | Continue question and reward. Hand deliver questions on night shift. | Continue questions and reward. Post results of data |