Referring to the systematic review on the validity and rigor of applying PDSA methodology in healthcare improvement projects (Taylor et al., 2014), Answer the following questions:
1- What is the main literature gap behind the methodology of PDSA in the context of articles published in journals aiming to improve healthcare systems according the review paper?
2- Describe the four stages of PDSA in terms of their content, milestones and how each stage contributes to the overall improvement project.
3- What deficiencies have been unraveled with respect to the use of PDSA?