Abstract

Introduction: Delivering high-quality care and achieving optimal outcomes rely on efficient clinical processes. Continuous improvement enhances care (Endalamaw et al., 2024), and staff should identify evidence-based solutions to drive change.

At this 350-bed Magnet-recognized hospital, clinical and operational teams worked in silos despite shared goals. Clinical staff used gap analyses, while operational teams applied A3 problem-solving to determine whether issues required kaizen events or quick fixes. A3 supports root cause analysis, targeted interventions, and outcome evaluation (Brennan & Wendt, 2021).

However, no standardized process existed for submitting or tracking gap analyses or A3s. In Q1 2025, only two A3s and two kaizen events were documented, underscoring the need for a more coordinated, high-impact strategy.

Aims: The aim of this initiative was to streamline and standardize continuous improvement efforts to maximize impact and breakdown silos.

Methodology: Leadership endorsed a unified approach using A3 problem-solving in place of gap analyses. A3s offered a more structured framework for identifying root causes and implementing targeted solutions.

To support adoption, A3 problem-solving was introduced through town halls, huddles, departmental meetings, and training platforms. These included process coach classes, nursing leadership retreats, and Magnet Champion meetings. Active learning sessions allowed staff to collaboratively address real-world challenges, referred to as “pebbles in their shoes,” by identifying the who, what, when, where, and how questions with real-time feedback. All completed A3s are now stored in a centralized database, enhancing visibility, prioritization, and coordinated support across teams.

Results: Since Q1 2025, A3 submissions increased from 2 to 24, a 400% rise. kaizen events (rapid process improvement) grew from 2 in 2024 to 7 by July 2025, a 250% increase. Sustained improvements include a 67.8% reduction in discharge response time (from 2.8 to 0.9 hours) and a 46.0% reduction in time to first documented vital signs (from 37 to 20 minutes).

Conclusion/Implications for Practice: Standardizing A3 problem-solving reduced silos, minimized duplication, and aligned teams around shared goals. It eased workloads, encouraged collaboration, and empowered staff to implement targeted, evidence-based solutions. Integrating quality improvement, EBP, and research fosters excellence, engagement, and better outcomes.

Notes

Presenter notes available in attached slide deck.

Description

In Q2 2025, a Magnet-recognized community-based hospital reintroduced A3 problem-solving through huddles, meetings, retreats, and active learning with real time feedback. Strong teamwork and collaboration between clinical and operational leaders led to a 400% increase in A3 submissions (24 total) and a 250% rise in kaizen events (7 YTD), driving sustained improvements in discharge response time and vital sign documentation.

Author Details

Deltra Muoki, PhD, APRN, AGNP-C, CMSRN, CNE, NE-BC, CPHQ; Sarah Fleming, DNP, MBA, RN, NE-BC; Eliud Faz, MSHA; Dan Hootman, MPH; Whitney Adams, DNP, RN, CEN, NPD-BC

Note: Author list includes those listed on the attached slide deck title slide and in the Sigma event system platform.

Sigma Membership

Alpha Gamma Gamma

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Implementation Science, Interprofessional Initiatives, Interprofessional, Interdisciplinary, Interprofessional Relations, Problem Solving

Conference Name

Creating Healthy Work Environments

Conference Host

Sigma Theta Tau International

Conference Location

Washington, DC, USA

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-04-24

Click above link to access the slide deck.

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Integrating A3 Thinking to Drive Collaborative Clinical and Operational Improvements

Washington, DC, USA

Introduction: Delivering high-quality care and achieving optimal outcomes rely on efficient clinical processes. Continuous improvement enhances care (Endalamaw et al., 2024), and staff should identify evidence-based solutions to drive change.

At this 350-bed Magnet-recognized hospital, clinical and operational teams worked in silos despite shared goals. Clinical staff used gap analyses, while operational teams applied A3 problem-solving to determine whether issues required kaizen events or quick fixes. A3 supports root cause analysis, targeted interventions, and outcome evaluation (Brennan & Wendt, 2021).

However, no standardized process existed for submitting or tracking gap analyses or A3s. In Q1 2025, only two A3s and two kaizen events were documented, underscoring the need for a more coordinated, high-impact strategy.

Aims: The aim of this initiative was to streamline and standardize continuous improvement efforts to maximize impact and breakdown silos.

Methodology: Leadership endorsed a unified approach using A3 problem-solving in place of gap analyses. A3s offered a more structured framework for identifying root causes and implementing targeted solutions.

To support adoption, A3 problem-solving was introduced through town halls, huddles, departmental meetings, and training platforms. These included process coach classes, nursing leadership retreats, and Magnet Champion meetings. Active learning sessions allowed staff to collaboratively address real-world challenges, referred to as “pebbles in their shoes,” by identifying the who, what, when, where, and how questions with real-time feedback. All completed A3s are now stored in a centralized database, enhancing visibility, prioritization, and coordinated support across teams.

Results: Since Q1 2025, A3 submissions increased from 2 to 24, a 400% rise. kaizen events (rapid process improvement) grew from 2 in 2024 to 7 by July 2025, a 250% increase. Sustained improvements include a 67.8% reduction in discharge response time (from 2.8 to 0.9 hours) and a 46.0% reduction in time to first documented vital signs (from 37 to 20 minutes).

Conclusion/Implications for Practice: Standardizing A3 problem-solving reduced silos, minimized duplication, and aligned teams around shared goals. It eased workloads, encouraged collaboration, and empowered staff to implement targeted, evidence-based solutions. Integrating quality improvement, EBP, and research fosters excellence, engagement, and better outcomes.