Change on a large scale can be daunting but that should not deter you!  Before implementing a full proposal for change, a Plan, Do, Study, Act (PDSA) cycle can be used to test out an idea on a small scale.

New ideas should be introduced only after sufficient testing on a smaller scale has proven to have a positive effect.  PDSA cycles allow ideas to be introduced in a safe, controlled way which will have less resistance, be less disruptive and use fewer resources.  By building on the learning from each PDSA cycle, new processes can be introduced with a greater chance of success. 


  • Define the objectives
  • What, Why, Who, How & When
  • How long will the PDSA continue?
  • How will you know if the PSDA is a success?
  • What data collection methods are you using?


  • Carry out the trial
  • Encourage continual feedback within your team
  • Collect data and information


  • Examine your findings & reflect on what was learned
  • What did it feel like - was a difference noticed?
  • Did you achieve your objectives?
  • What went well & what could be improved?


  • Use the information gained to modify & retest
  • Do you require more data
  • Does the trial need to be over a longer period?
  • Implement the new process