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Research Lean Principals- Six sigma to improve efficiency and clinical outcomes Research Rapid Cycle Design and how PDSA works to change processes   Write a 2 to 3 page paper demonstrating the application of Lean principals to the nursing process to identify how duplicate documentation requirements on patient charts waste time and are inefficient. Use the PDSA process to plan an improvement.  Create a sample diagram in the paper APA format    With proper citations and a reference page