Читать книгу Acute Kidney Injury - Basic Research and Clinical Practice - Группа авторов - Страница 26

In hospitals, new ideas are often developed without sufficient testing. So the Plan, Do, Study, Act (PDSA) circle model (Fig. 1) has been widely introduced to the practitioner, for testing its feasibility and possible improvement measures that can be achieved before applying this model widely.

The PDSA circle is significant in its use to improve the quality of recognizing AKI early. It works best when it is used to test ideas on a small scale prior to full implementation. With quality improvement services, there will be multiple consecutive cycles used alongside project development. The model is based on the scientific method of encompassing a planned, systematic means to solving a problem that can be observed. Outcomes will be measured, but unlike research, the outcome measures in this model are tools for learning and demonstrating improvement, and are not to be evaluated against research criteria. This model works as a practical framework to evaluate the current service and to test and generate new ideas for the development of an AKI risk assessment. We discuss an example below.