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Intersecting Evidence-Based Practice With a Lean Improvement Model
Margo A Halm1, Ann Alway, Sandra Bunn
1Nursing Professional Services, VA Portland Health Care System, Portland, Oregon (Dr Halm); and Salem Health, Salem, Oregon (Mss Alway, Bunn, Dunn, Hirschkorn, Ramos, and St. Pierre).
Abstract:
In our journey from Magnet designation to a Lean hospital, a team of advanced practice nurses, a nurse scientist, and Lean specialists developed a crosswalk of evidence-based practice (EBP) with Lean to explicitly embed the use of evidence in our organization's 4-step problem-solving method. Once finalized, the blended Lean-EBP model now guides improvement work as highlighted in the example of updating our practice for frequency of changing peripheral intravenous catheters.
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