title: Using the Plan-Do-Study-Act model: Pacesetters experiences.
abstract: OBJECTIVE
  This article aims to analytically review the Plan-Do-Study-Act (PDSA) model used in the Pacesetters national programme evaluation.
  
  
  METHODS
  The evaluation team's two-fold role is outlined: supporting project teams to develop PDSA plans and collect evaluation data. Four case studies are used to show the PDSA model's application and effect in a participatory action learning approach. Despite limitations, it is clear that all four case studies illustrate the PDSA model's potential benefits in a participatory evaluation approach, which involves public and patients.
  
  
  RESULTS
  The model's effectiveness is premised on several enabling factors such as: teams appreciating the model; a climate that values all learning and open to re-planning; engaging any external evaluators whose role is clearly communicated to all project stakeholders in a timely fashion.
  
  
  CONCLUSIONS
  There are clear intentions to promote evidence-based commissioning in the UK that values patient and public involvement. The PDSA model has the potential to test and implement changes in real work-place settings and to involve the public in evaluation.
  
  
  CONCLUSIONS
  Case study analysis identifies new reflections on the PDSA model's use to support innovative NHS practice development with public involvement in a participatory approach.
authors.affiliation: Faculty of Health and Life Sciences, University of the West of England, Bristol, UK. pam.moule@uwe.ac.uk
authors.forename: Parm
authors.initials: P
authors.lastname: Moule
authors.forename: David
authors.initials: D
authors.lastname: Evans
authors.forename: Katherine
authors.initials: K
authors.lastname: Pollard
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control; D055812:Community-Based Participatory Research / Q000379:methods / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D054624:Health Status Disparities; D006801:Humans; D007297:Inpatients; D007859:Learning Disabilities; D008297:Male; D054525:Minority Health; D017146:Models, Organizational; D019982:Organizational Case Studies; D015397:Program Evaluation / Q000379:methods / Q000592:standards; D063106:Transgender Persons; D006113:United Kingdom; D061217:Weight Reduction Programs / Q000379:methods / Q000458:organization & administration; D016387:Women's Health