TABLE 1

Summary of PDSA Cycles

PDSA CycleDateProcess Change
BaselineDecember 2016 to April 2017 and December 2017 to April 2018Data collection and development of intervention
Cycle 1October-December 2018SCRATCH Trial protocol and associated EMR order sets and education
Cycle 2February 2019Use of wall adapter for discontinuation of high-flow machine without changing the oxygen delivery system
Cycle 3March 2019Changed trial order to last 5 d and increased frequency of trials to twice daily
Cycle 4December 2019Re-education of teams, laminated job aids placed in patient rooms