intermediatequality improvementPDSA cycleno-show ratesclinic managementdata analysis
A PMHNP clinic director notices that the no-show rate for follow-up psychiatric appointments has increased from 15% to 32% over the past six months. She decides to implement a quality improvement project using the Plan-Do-Study-Act (PDSA) cycle methodology. After planning the intervention (automated text message reminders 48 hours before appointments), she implements the text reminder system for one month with a subset of 50 patients. The no-show rate for this group decreases to 20%. She is now in the Study phase of the cycle. Which of the following best represents the appropriate next step in the PDSA process?