Monday, October 3, 2011

Rapid-Cycle Testing and PDSA Cycles: Not the Same Thing

What does "rapid-cycle testing" mean to you? One of the five NIATx principles, rapid-cycle testing gives change teams a way to try out change ideas to see how they work.

I was at a wrap up session of a learning collaborative last week and one of the participants said, "We did PDSA but we didn't do rapid cycle and I think that was our problem". I think she was right. They did their change projects using a Plan-Do-Study-Act method, but they selected changes that took a long time to complete and measure and did not break them down into "small bites" (her own words).

Have you taken too big a bite in a PDSA Cycle only to find that you weren't doing rapid-cycle change at all? How did you regroup? Coaches, what do you do to help people make sure they are making their change cycles small enough to be done in a rapid-cycle way?

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