PDSA Steps and Tools

This is a guide to the 11 steps through a Plan Do Study Act Cycle. Included for each step: the purpose, procedures, a list of possible tools an improvement team might use to accomplish their goals and the outcome.

CDC Clinical Practice Guideline for Prescribing Opioids for Pain – November 2022

This guideline provides recommendations for clinicians providing pain care, including those prescribing opioids, for outpatients aged ≥18 years. It updates the CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016 (MMWR Recomm Rep 2016;65[No. RR-1]:1–49) and includes recommendations for managing acute (duration of <1 month), subacute (duration of 1–3 months), and chronic (duration of >3 months) pain.

The recommendations do not apply to pain related to sickle cell disease or cancer or to patients receiving palliative or end-of-life care.

The guideline addresses the following four areas:

1) determining whether or not to initiate opioids for pain,

2) selecting opioids and determining opioid dosages,

3) deciding duration of initial opioid prescription and conducting follow-up, and

4) assessing risk and addressing potential harms of opioid use.

CDC developed the guideline using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework. Recommendations are based on systematic reviews of the scientific evidence and reflect considerations of benefits and harms, patient and clinician values and preferences, and resource allocation.

CDC obtained input from the Board of Scientific Counselors of the National Center for Injury Prevention and Control (a federally chartered advisory committee), the public, and peer reviewers.

CDC recommends that persons with pain receive appropriate pain treatment, with careful consideration of the benefits and risks of all treatment options in the context of the patient’s circumstances.

UTI Treatment Quality Improvement Action Plan for Nursing Homes

The UTI Treatment Action Plan template can assist Nursing Homes in assessing the management of urinary tract infections in the facility. The template includes examples of root cause analysis, SMART goals, PDSA cycles, resources and a staff pre and posttest knowledge assessment. The Action Plan is created in Word format to allow the user to modify the content to meet facility specific needs.

UTI Diagnosis and Prevention Quality Improvement Action Plan for Nursing Homes

The UTI Diagnosis and Prevention Action Plan template can assist Nursing Homes in assessing the management of urinary tract infections in the facility. The template includes examples of root cause analysis, SMART goals, PDSA cycles, resources and a staff pre and posttest knowledge assessment. The Action Plan is created in Word format to allow the user to modify the content to meet facility specific needs.

Cardiac Rehabilitation Programs in New England

Hospitals may treat patients who are eligible for outpatient cardiac rehabilitation (CR) that do not live or work nearby. Developing and maintaining a list of active CR programs with the facility’s address, contact information, and other relevant details can help CR care coordinators find a program that may be more convenient for the patient. This resource includes most of the active programs in CT, MA, ME, NH, RI and VT to help you get started on a list for your region.