The document describes the PDSA (Plan-Do-Study-Act) cycle used for quality improvement projects. The PDSA cycle involves planning a change by developing an aim statement and understanding the current process. Next is doing by implementing the planned change and collecting data. Then studying the results to analyze if improvement was achieved. Finally, acting by either adopting, adapting, or abandoning the change based on the study results. The goal is to sustain improvements by monitoring, maintaining, and checking in on ongoing processes.