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Every time you complete one successful test and go on to the next, the 5X Rule suggests increasing by a factor of five. Plan-Do-Study-Act (PDSA cycle) is an iterative, four-stage problem-solving methodology used to enhance a process or implement change.

Internal and external customers should be involved while adopting the PDSA cycle since they may offer input on what works and what doesn't. Teams are able to gradually develop a higher level of belief thanks to iterative test cycles. o For early PDSA cycles, the 1:1:1 test (example: "1 provider, 1 patient, 1 interaction") is a helpful guideline. The Plan-Do-Study-Act (PDSA) cycle is an acronym for testing a change by organizing it, putting it into practice, evaluating the outcomes, and taking action based on what is discovered. A PDSA cycle example of a change: Getting medical professionals to engage in teach-back with patients. This PDSA cycle change example focuses on encouraging medical professionals to engage in teach-back with patients.

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