Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

Michael J. Taylor; Chris McNicholas; Chris Nicolay; Ara Darzi; Derek Bell; Julie E. Reed

Review

Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

October 16, 2013

Taylor MJ, McNicholas C, Nicolay C, et al. BMJ Qual Saf. 2014;23(4):290-8.

View more articles from the same authors.

This systematic review of the plan-do-study-act method of quality improvement showed that most studies do not report on the key methodological features of iterative cycles, tests of change, and data use in real time.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study.

May 1, 2019

Interventions to improve employee health and well-being within health care organizations: a systematic review.

June 20, 2018

The problem with Plan-Do-Study-Act cycles.

February 3, 2016

Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012.

August 27, 2014

Simulation to enhance patient safety: why aren't we there yet?

October 19, 2011

Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS).

November 29, 2023

A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.

January 16, 2013

'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey.

September 14, 2011

Identifying and addressing preventable process errors in trauma care.

June 26, 2013

Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study.

July 23, 2014

Simulation for ward processes of surgical care.

April 17, 2013

Surgical ward round quality and impact on variable patient outcomes.

March 19, 2014

Effectiveness of interventions to improve patient handover in surgery: a systematic review.

June 17, 2015

Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators.

May 2, 2018

Fatigue in radiology: a fertile area for future research.

July 31, 2019

The problem of engaging hospital doctors in promoting safety and quality in clinical care.

March 21, 2007

Surgical skill is predicted by the ability to detect errors.

May 25, 2005

Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards.

June 24, 2015

Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients.

June 18, 2014

Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery.

February 26, 2014

Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK.

May 30, 2018

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.

April 17, 2013

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.

April 5, 2023

Observational assessment of surgical teamwork: a feasibility study.

October 4, 2006

Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study.

January 23, 2019

An analysis of electronic health record–related patient safety concerns.

July 2, 2014

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre.

December 7, 2005

Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data.

January 6, 2016

Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study.

July 11, 2012

Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams.

December 17, 2014

Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1).

May 5, 2021

Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.

February 1, 2012

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.

October 5, 2022

Five reasons for optimism on World Patient Safety Day.

October 23, 2019

A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery.

May 20, 2015

How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory.

October 19, 2022

Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey.

March 10, 2021

The impact of stress on surgical performance: a systematic review of the literature.

February 3, 2010

Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis.

August 5, 2015

The impact of mobile technology on teamwork and communication in hospitals: a systematic review.

March 20, 2019

Teamwork in the operating theatre: cohesion or confusion?

March 29, 2006

Systems approaches to surgical quality and safety: from concept to measurement.

March 6, 2005

Patients' and health care professionals' attitudes towards the PINK patient safety video.

June 29, 2011

The impact of nontechnical skills on technical performance in surgery: a systematic review.

January 30, 2005

Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training.

May 30, 2012

Do safety checklists improve teamwork and communication in the operating room? A systematic review.

January 29, 2014

Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study.

September 27, 2023

Reliability of a revised NOTECHS scale for use in surgical teams.

July 16, 2008

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

October 13, 2010

Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data.

July 27, 2022

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

July 8, 2020

Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey.

May 20, 2020

Post event debriefs: a commitment to learning how to better care for patients and staff.

January 13, 2016

Telehealth.

October 25, 2017

Opportunities to enhance laboratory professionals' role on the diagnostic team.

November 16, 2016

Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency.

January 16, 2019

International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process.

February 1, 2017

Enhancing safety culture through improved incident reporting: a case study in translational research.

December 12, 2018

Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature.

February 14, 2018

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.

August 2, 2006

Factors compromising safety in surgery: stressful events in the operating room.

February 10, 2010

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.

April 20, 2022

Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights.

February 26, 2020

Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.

July 11, 2007

CT for suspected appendicitis in children: an analysis of diagnostic errors.

March 1, 2006

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.

January 19, 2011

Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.

March 23, 2011

A 2-year study of patient safety competency assessment in 29 clinical laboratories.

June 18, 2008

Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis.

December 18, 2019

Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis.

February 23, 2022

Surgical technology and operating-room safety failures: a systematic review of quantitative studies.

August 7, 2013

A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project."

August 20, 2014

The potential of Twitter as a data source for patient safety.

January 27, 2016

Double reading in breast cancer screening: cohort evaluation in the CO-OPS trial.

August 29, 2018

What is the value and impact of quality and safety teams? A scoping review.

November 16, 2011

Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic.

January 12, 2022

A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.

September 25, 2019

The WHO surgical safety checklist: survey of patients' views.

August 6, 2014

Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy.

November 17, 2021

The clinical and medicolegal implications of radiology results communication.

December 13, 2017

Repeat prescribing of medications: a system-centred risk management model for primary care organisations.

November 8, 2017

Patient safety in inpatient mental health settings: a systematic review.

February 5, 2020

Safe work-hour standards for parents of children with medical complexity.

January 29, 2020

Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.

January 21, 2015

Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study.

November 13, 2019

The human face of simulation: patient-focused simulation training.

October 18, 2006

Multidisciplinary crisis simulations: the way forward for training surgical teams.

July 18, 2007

Impact of an antiretroviral stewardship strategy on medication error rates.

July 18, 2018

Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients.

October 12, 2022

The effect of an organizational network for patient safety on safety event reporting.

August 28, 2013

Applying human factors engineering to address the telemetry alarm problem in a large medical center.

August 11, 2021

Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study.

December 17, 2014

A randomized trial of electronic clinical reminders to improve medication laboratory monitoring.

July 23, 2008

Ethics, oversight and quality improvement initiatives.

August 25, 2010

Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010.

May 2, 2012

Clinical outcomes associated with medication regimen complexity in older people: a systematic review.

June 28, 2017

It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure.

November 29, 2023

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review.

August 31, 2022

Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review.

June 14, 2017

Improving end-of-rotation transitions of care among ICU patients

December 4, 2019

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Perspective

Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions

November 16, 2022

Improving Quality and Safety in Healthcare.

October 26, 2022

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis.

February 3, 2021

Organizing Patient Safety: Failsafe Fantasies and Pragmatic Practices.

May 8, 2019

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales.

August 24, 2016

Healthcare staff wellbeing, burnout, and patient safety: a systematic review.

August 24, 2016

Hospital at night: an organizational design that provides safer care at night.

August 10, 2016

Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review.

May 25, 2016

The problem with Plan-Do-Study-Act cycles.

February 3, 2016

The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation.

September 24, 2014

A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application?

September 10, 2014

Racial and ethnic disparities in patient safety.

August 27, 2014

Patient Safety: Perspectives on Evidence, Information and Knowledge Transfer.

June 4, 2014

Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety.

May 21, 2014

The relationship between patient safety culture and patient outcomes: a systematic review.

April 2, 2014

A just culture after Mid Staffordshire.

March 26, 2014

Health care huddles: managing complexity to achieve high reliability.

March 26, 2014

We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.

March 19, 2014

Team-training in healthcare: a narrative synthesis of the literature.

March 12, 2014

Speaking up for patient safety by hospital-based health care professionals: a literature review.

March 5, 2014

Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals.

March 5, 2014

The Francis Report: One Year On.

February 26, 2014

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years?

February 26, 2014

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review.

February 5, 2014

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?

January 29, 2014

What to do with healthcare incident reporting systems.

January 29, 2014

Communication in the operating theatre.

January 22, 2014

Applying ethnography to the study of context in healthcare quality and safety.

January 22, 2014

Organizational culture and its implications for infection prevention and control in healthcare institutions.

January 8, 2014

See More About The Topic

Hospitals

Health Care Providers

Health Care Executives and Administrators

Organizational Behaviorists

Safety Scientists

Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site