Using PDSA cycles to improve oral care compliance


      • Oral care reduces patient’s risk of acquiring healthcare associated pneumonia.
      • Compliance with oral care practices is suboptimal among nursing staff.
      • Using Plan-Do-Study-Act cycles, with nurse’s involvement, can increase compliance.
      • Sustainability efforts should be put into place to maintain improvement.


      Oral care has been shown to reduce healthcare-associated pneumonia (HAP) rates, however, compliance with this practice is suboptimal. Using quality improvement PDSA cycles over an 8-week period, we saw improvements in oral care documentation compliance through statistical process control charts; HAP rates did not significantly decrease. Infection prevention leadership should consider regularly incorporating PDSA cycles to improve compliance with evidence-based infection prevention practices.

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