After testing a change on a small scale, learning from each test, and refining the change through several PDSA cycles, you may decide to implement the change on a wider scale; for example, for an entire pilot population or on an entire unit.

Implementation is a permanent change to the way work is done and, as such, involves building the change into the organisation.  It may require change to documentation, written policies, training, and other parts of the organisation that have not been heavily engaged in the testing phase.

Tips for implementing changes:

1. Communicating the change you are asking people to adopt is key and this should include the benefits to all

2. Don’t forget to tell the whole story.  Telling the story of the inception, testing and success of an idea is powerful and personalising your story can help

3. Leadership support for the change you are trying to make is key.  Sometimes support alone is not sufficient and some practical help from leaders is required

4. Be persistent