Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

3.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

317
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
317
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K
Standard Precaution01:26

Standard Precaution

2.7K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.7K
Nursing Clinical Information System01:27

Nursing Clinical Information System

1.2K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.2K
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Implementing the Lean 5S process improvement to boost efficiency and cost savings in hospital supply rooms.

Nursing·2024
Same author

Engaging the Front Line: A Case Study on Implementing Lean Methodology to Improve Central Line-Associated Bloodstream Infections.

Critical care nursing quarterly·2022
Same author

Critical Thinking Tools for Quality Improvement Projects.

Critical care nurse·2021
Same journal

Bridging disciplines through Alzheimer care: A faculty-guided summer interprofessional education experience for prelicensure nursing students.

Nursing·2026
Same journal

Improving outcomes by empowering nurses to lead change in an acute stroke unit.

Nursing·2026
Same journal

Q&A with Ken Wofford, PhD, CRNA, CHSE, FAWM, DiMM.

Nursing·2026
Same journal

Oral anticoagulant medications.

Nursing·2026
Same journal

Signs, signs, everywhere a sign!

Nursing·2026
Same journal

How does postural orthostatic tachycardia syndrome (POTS) affect pediatric patients?

Nursing·2026
See all related articles

Related Experiment Video

Updated: Jan 14, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

13.7K

A3 problem solving: Implementing a lean approach to health care quality improvement to decrease central

Jason Yaglowski1

  • 1Jason Yaglowski is an RN Quality Lean Coach at Allegheny Health Network, Allegheny General Hospital in Pittsburgh, PA.

Nursing
|October 20, 2025
PubMed
Summary
This summary is machine-generated.

The A3 problem-solving method, a lean quality improvement tool, significantly reduced central line-associated bloodstream infections (CLABSIs) in a trauma center. This approach fostered staff engagement and enhanced patient safety.

Keywords:
A3 problem solvingCLABSIscentral line–associated bloodstream infectionslean approachquality improvement

More Related Videos

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

24.3K
Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness
09:17

Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness

Published on: May 2, 2017

9.3K

Related Experiment Videos

Last Updated: Jan 14, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

13.7K
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

24.3K
Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness
09:17

Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness

Published on: May 2, 2017

9.3K

Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Patient Safety Research

Background:

  • Lean methodologies are foundational to quality improvement in healthcare.
  • The A3 problem-solving approach offers a structured framework for addressing complex issues.
  • Central line-associated bloodstream infections (CLABSIs) represent a significant patient safety challenge in trauma centers.

Purpose of the Study:

  • To examine the application of the A3 problem-solving methodology in a level 1 trauma center.
  • To demonstrate how the A3 methodology can drive systematic and sustainable process improvements.
  • To assess the impact of the A3 approach on CLABSI rates and staff knowledge.

Main Methods:

  • Application of the A3 problem-solving methodology.
  • Focus on central line-associated bloodstream infections (CLABSIs) as a case study.
  • Emphasis on data-driven decision-making and bottom-up staff engagement.

Main Results:

  • Significant reduction in CLABSIs achieved.
  • Improved staff knowledge regarding infection prevention protocols.
  • Demonstrated adaptability and effectiveness of the A3 methodology in a complex healthcare setting.

Conclusions:

  • The A3 problem-solving methodology is effective for improving healthcare processes and patient safety.
  • The structured, data-driven, and staff-engaged approach fosters a culture of continuous improvement.
  • Implementation of A3 can lead to reduced healthcare costs and enhanced patient outcomes.