1. Wrapping for Success: Putting the PDSA Cycle in Motion
Team Activity
Introduction: Making improvements requires change, but change can seem threatening or overwhelming. The Plan-Do-Study-Act cycle, or “PDSA,” is a model used to test ideas or changes that you think will result in improvement or solve a problem in your healthcare facility. The PDSA cycle breaks projects down to manageable size and tests each small part to make sure your plan for change is successful, with no wasted effort. We use PDSA cycles everyday, we just don’t realize it.

2. The PDSA Cycle for Learning and Improvement
Act
Plan
What changes will you make?
Next cycle?
Objective (why)
Plan to carry out the cycle (who, what, where, when)
Plan for collection of data (who, what, where, when)
Study Do
Step 1: Plan. Identify the change you think will result in improvement. Establish the scope for the change to be introduced. Identify the prediction (why). Then, plan the test of change (who, what, where, when). Establish how you are going to collect information about the impact of the change and how you will know whether the change made has “worked” or not. Create a plan for data collection (who, what, where, when).
Step 2: Do. Carry out the plan. Document problems and unexpected complications.
Step 3: Study. Review and reflect on the impact of the change. Analyze the data and ask, “Has there been an improvement?” “Did your expectations match the reality of what happened?” and “What could have been done differently?”
Step 4: Act. Use your data to inform the next step. Is the plan ready to be adopted? Should it be adapted or modified in any way? If needed, adjust the plan to address what didn’t work. Return to Step 1 and repeat the cycle.
Analyze data
Compare data to predictions
Summarize lessons learned
Carry out the plan
Document problems and unexpected complications 2

3. Instructions Aim Statement: Instructions:
Team (___) will WIN the PDSA gift wrapping game by 5 points on (date)
Instructions:
Measure and cut paper to __ inches by __ inches
Cut ribbon to __ inches
Use no more than six pieces of tape no longer than three inches apiece
Wrap gift
Wrap ribbon around package and secure
Decorate package with eight stickers and one inflated balloon
Record your time
The Aim Statement describes the goal of your project today. Your team name will fill in the blank. To win, you must follow the instructions as accurately and quickly as possible.

4. Judging Criteria Time: Appearance: 5-15 points
First place = 10 points
Second place = 5 points
Appearance: 5-15 points
Pattern alignment (5 point subtraction if bunnies and rabbits overlap pattern)
“Tight and flat” edges and corners
Smooth alignment/approximation of back wrap
5 points for largest balloon
Followed instructions properly: 5-10 points
Balloon, stickers, ribbon, tape, etc.
Modify judging criteria to reflect the type of gift wrap used (i.e., alignment of Christmas trees or birthday cakes), size of balloons or placement of bow in the middle or right upper corner of the package.