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TABLE 1

PDSA for Implementation Workflow

Study ResultsPlanned Process Change
Preimplementation N/A Screen 1 caregiver per day per process map 
Week 1 Effective introduction of screener to families by CTA and completion of screener by caregivers Increase duration before tablet times out 
 The tablet timed out too quickly. Orient an additional CTA with availability in the morning when more caregivers are present 
 Many caregivers were not at the bedside. Change data collection forms to aggregate counts of caregivers not screened 
 Initial data collection plan detailing each time a caregiver cannot be screened is time consuming.  
Week 2 Additional CTA was able to screen parents in the morning when more are present on the unit, decreasing the No. caregivers not screened for this reason from 6 to 2. Obtain an additional tablet 
 Screening is limited to 2 families at a time because of the No. tablets available.  
Week 3 Additional CTA fully integrated into the project with ability to screen caregivers in the morning has been effective. Refine data collection tools 
 Additional tablet is now available. Scale up to screening at least 80% of eligible caregivers 
Weeks 4–6 Gradually scaled the number of screenings per week. Screen at least 80% of eligible caregivers 
Study ResultsPlanned Process Change
Preimplementation N/A Screen 1 caregiver per day per process map 
Week 1 Effective introduction of screener to families by CTA and completion of screener by caregivers Increase duration before tablet times out 
 The tablet timed out too quickly. Orient an additional CTA with availability in the morning when more caregivers are present 
 Many caregivers were not at the bedside. Change data collection forms to aggregate counts of caregivers not screened 
 Initial data collection plan detailing each time a caregiver cannot be screened is time consuming.  
Week 2 Additional CTA was able to screen parents in the morning when more are present on the unit, decreasing the No. caregivers not screened for this reason from 6 to 2. Obtain an additional tablet 
 Screening is limited to 2 families at a time because of the No. tablets available.  
Week 3 Additional CTA fully integrated into the project with ability to screen caregivers in the morning has been effective. Refine data collection tools 
 Additional tablet is now available. Scale up to screening at least 80% of eligible caregivers 
Weeks 4–6 Gradually scaled the number of screenings per week. Screen at least 80% of eligible caregivers 

N/A, not applicable.

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