The 5As framework—Assess, Admit, Advise, Accomplish and Adhere—provides a structured approach to healthcare quality improvement. Applied to reducing laboratory pre-analytical errors, it identified root causes, guided targeted interventions and strengthened staff accountability. Through education, standardized practices, KPI monitoring and continuous feedback, specimen rejection rates fell from 3% to below 1% within six months, with sustainability built into routine practice.
The 5As in Action: A Practical Journey from Problem to Sustained Improvement

