A3 problem solving: Implementing a lean approach to health care quality improvement to decrease central line–associated bloodstream infections.

This article examines the application of the A3 problem-solving methodology, one of the foundations of lean quality improvement, within a level 1 trauma center. Using the example of central line–associated bloodstream infections (CLABSIs), this article demonstrates how the A3's structured approach s...

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Publicado en:Nursing Vol. 55; no. 11; pp. 57 - 63
Autor principal: Yaglowski, Jason
Formato: tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: A3 problem solving: Implementing a lean approach to health care quality improvement to decrease central line–associated bloodstream infections.
      aug:
        au: Yaglowski, Jason
        affil: Jason Yaglowski is an RN Quality Lean Coach at Allegheny Health Network, Allegheny General Hospital in Pittsburgh, PA.
      sug:
        subj:
          Problem Solving
          Quality Improvement
          Trauma Centers
          Catheter-Related Bloodstream Infections Prevention and Control
          Professional Knowledge
          Work Engagement
          Decision Making, Clinical
          Adaptation, Psychological
          Patient Safety
          Health Care Costs
          Treatment Outcomes
          Data Collection Methods
          Catheter Care Education
          Equipment Maintenance Education
          Education, Nursing
          Collaboration
          Brainstorming
      ab: This article examines the application of the A3 problem-solving methodology, one of the foundations of lean quality improvement, within a level 1 trauma center. Using the example of central line–associated bloodstream infections (CLABSIs), this article demonstrates how the A3's structured approach supports systematic and sustainable process improvement. The A3's standardized format and emphasis on data-driven decision-making, combined with bottom-up staff engagement, enabled a significant reduction in CLABSIs and improved staff knowledge. The findings highlight the A3's adaptability and effectiveness in addressing complex health care challenges, encouraging a culture of continuous improvement, and contributing to enhanced patient safety and reduced health care costs.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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