Download - EXAMPLES OF WATER FLUORIDATION PDSA CYCLES
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EXAMPLES OF WATER FLUORIDATION PDSA CYCLES
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“P” = PLAN
“What is your family’s drinking water source?”
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AIM
• Determine if drinking water has a safe and adequate amount of fluoride.
• MEASUREMENT: DEPENDS ON SOURCE
• Well: DHEC measure level• Municipal:
http://apps.nccd.cdc.gov/MWF/Index.asp• Purchased: Provider supplies level
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“D” = DO• 1. Pick target % for posing topic question to family• 2. Select study patient ages and cycle time length • 3. Educate staff • 4. Sign in office staff flags candidate visit• 5. Nurse rooms patient and notes flag• 6 Nurse audits record: no previous discussion• 7. Nurse asks topic question• 8. Nurse determines Fl content (slide 3)• 9. Provider comments on Fl level• 10. Provider makes water/fl recommendation• 11. Family leaves
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“S” = STUDY
1. Tabulate # of qualifying routine exams done during study period
2. Tabulate # of exams where steps 6-9 were completed 3. Calculate % completed for each step 4. Discuss with staff and decide
countermeasures to improve % on next cycle
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• Decide on new plan to improve oral fluoride use: EXAMPLES TO CONSIDER:• Place picture of tooth on all qualified charts to
remind staff of PDSA cycle • Inquire about water filtration devices• Do out of home bottled water use assessment• Calculate estimated fluoride burden from all
sources (e.g. diet, toothpaste, water, fl treatments)
“A” = ACT
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Reminder! Ask the PDSA question