Table 1.

Plan-Do-Study-Act Phase 1 Project Cycles

Cycle	Plan	Do	Study	Act
1	WMTY MDT meet to decide key principles of the tool: bedside poster; sections to include communication needs, likes, preferred name, support network; easy for anyone to complete	Tested poster 1 on 2 patients; medical students filled in the poster from patient notes	Questionnaire feedback with staff	Test on a wider group – 2 patients chosen were both long-stay and not representative of full ICU cohort
2	Same poster on a wider group of patients; doctor to fill in during clinical update and gather family feedback	5 patients had posters completed during family updates	Questionnaire feedback with staff and informal feedback from families	Edit poster and limit the boxes so text is easily readable from end of the bed
3	Redesigned the poster in WMTY MDT meeting, removing video-calling box, which staff had fed back was not useful as would need updating too regularly	Tested on 4 new admission patients, completed by doctors doing the admission clerking	Questionnaire feedback with staff	Test on higher volume of patients, with all posters laminated and “permanently” in the bedspace
4	Color on posters was adjusted so each section was unique, all posters were laminated and to be tested in one section of the ICU	3 doctors and 1 OT completed 8 posters when doing family updates in one day.	Questionnaire feedback with staff	Implement across the care unit

ICU, intensive care unit; MDT, multidisciplinary team; OT, occupational therapy; WMTY, What Matters To You