After testing a change on a small scale, learning from each test, and refining the change through several PDSA cycles, the change is ready for implementation on a broader scale-for example, for an entire pilot population or on an entire unit.

Implementation is a permanent change to the way work is done and, as such, involves building the change into the organisation. It may affect documentation, written policies, hiring, training, compensation, and aspects of the organisation’s infrastructure that are not heavily engaged in the testing phase. Implementation also requires the use of the PDSA cycle.

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Science of Improvement: Implementing Changes

This resource is from the Institute for Healthcare improvement (IHI)

IHI provides an opportunity to access expertise, help, and encouragement for anyone, anywhere who wants to change health care profoundly for the better.