This paper examines the Plan-Do-Check-Act (PDCA) cycle as a quality assurance framework within the health care industry. It begins by identifying the pressures driving renewed focus on health care quality, including rising costs and greater consumer expectations. The paper then walks through each of the four PDCA stages — planning, doing (mock trial), checking, and acting — using nursing staff scheduling as a concrete illustration. It concludes by arguing that the PDCA method's built-in check-and-balance structure makes it especially well suited to an industry where errors can have serious consequences for patient health and safety.
In recent years, the health care industry has come under fire. Rising medical costs, greater expectations, and consumer demand have all played a part in the current need to re-evaluate the field and ensure it is running at optimum capacity — both in volume and delivery. Consumers who once accepted the status quo will no longer tolerate haphazard attempts at quality assurance, and this growing demand has placed pressure on management professionals to deliver consistent quality in the field.
One management tool being utilized in health care and other fields is the Plan-Do-Check-Act (PDCA) method. This theory provides the stop-gaps and check-and-balance system that is needed in a field so closely intertwined with consumer health and well-being. The successful management of any business requires discovering a management method that works for that particular industry, and in the case of health care, quality assurance can often be improved through the use of the PDCA cycle.
Before one can fully understand why this method works in the field of health care, it is important to understand how the theory is designed and operates. The Plan-Do-Check-Act (PDCA) cycle is an all-encompassing improvement methodology. It was developed as part of the broader Deming quality management tradition and has since been adopted across many industries as a reliable framework for continuous improvement.
The first step of the theory is to plan what to do. This can mean many things in the health care field because of the many aspects of the industry that must be performed. If the focus is on nursing, then planning who to schedule and what each nurse will do during their working hours constitutes the planning stage. If it concerns surgery, then planning the operation, scheduling employees, preparing the patient, and organizing the actual procedure is all part of this step.
Planning what to do gives everyone involved a working blueprint of what will be expected at each step of the way, so that there are no errors in communication or execution. Every industry needs to plan its activities, but the health care industry should be especially diligent in this area, as the consequences of poor planning can be disastrous. Patient safety depends in large part on the thoroughness of preparation at every stage of care delivery.
"Mock implementation to identify problems early"
"Evaluating whether the plan succeeded"
"Real-world rollout and ongoing oversight"
While the example here dealt with nursing, this theory can be used throughout the health care industry for quality assurance. It can be applied to improve patient care, billing systems, management strategies, and hiring practices. The health care industry is one in which there is little room for error, and the successful management of quality assurance is not negotiable.
You’re 43% through this paper. Sign up to read the remaining 3 sections.
Sign Up Now — Instant Access Already a member? Log inAlways verify citation format against your institution’s current style guide requirements.