Plan a small test of change, record what happens and use the learning to decide your next step with this editable PDSA worksheet.
What is included?
- A blank two-page worksheet covering Plan, Do, Study and Act.
- Prompts for your question, prediction, test arrangements, observations and next decision.
- A completed two-page healthcare example testing an outpatient room-readiness checklist.
How to use the PDSA worksheet
Start with one small test. Record your prediction before testing, compare it with what actually happened, and decide whether to adopt, adapt or abandon the change. Copy the blank worksheet for each new cycle.
Format: Editable Word document (.docx), four pages. The healthcare example is fictional and provided to illustrate the method.
Free Word template
PDSA worksheet and healthcare example
Get a blank PDSA worksheet and a completed healthcare example to help you plan, record and learn from a small test of change. Enter your details to receive the editable Word file by email.