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International Accreditation of Healthcare Facilities

Free resource · Patient-safety tools · Toolkit 29 · Quality improvement

PDSA Worksheet — Plan, Do, Study, Act

One improvement, one cycle, one page. Small test, quick result, next cycle — the method behind every audit in this library

Free A4 print-ready PDF · 1 page · keep the ASF mark · scan the QR on the print to return here

PDSA Worksheet — Plan, Do, Study, Act

What it is

The PDSA worksheet: the aim (what, by how much, by when), the measure, the change idea, the prediction, the test plan (who, what, where, when, how small), what happened, what was learned, and the decision — adopt, adapt, abandon — with the next cycle.

Where to use it

Every improvement project; the safety committee expects one per action on the log; three cycles fit on one wall poster. Evidence for: Governance — quality improvement (means of verification: PDSA records). Evidence for: Governance — quality improvement (means of verification: PDSA records).

Translate and adapt

English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.

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The same code is printed on the tool itself. Scan it in any facility to reach this page.

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Adapted by ASF from openly licensed WHO, IAEA, AHRQ, CDC and NHS material, or ASF original — source and licence stated on every sheet. Free for any facility. Keep the ASF block.
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