Applying the Principles of Lean Production to Gastrointestinal Biopsy Handling: From the Factory Floor to the Anatomic Pathology Laboratory.
Objectives: To implement Lean principles to accommodate expanding volumes of gastrointestinal biopsies and to improve laboratory processes overall. Design: Our continuous improvement (kaizen) project analyzed the current state for gastrointestinal biopsy handling using value-stream mapping for speci...
| Publicado en: | Laboratory Medicine Vol. 46; no. 3; pp. 259 - 265 |
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| Autores principales: | , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Oxford University Press / USA
Summer2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109600935&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109600935 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00075027 4CY jtl: Laboratory Medicine issn: 00075027 maglogo: N pubinfo: dt: Summer2015 vid: 46 iid: 3 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 109600935 108564591 10.1309/LMJCUFUN0LT8C6DB NLM26199269 109600935 ppf: 259 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Applying the Principles of Lean Production to Gastrointestinal Biopsy Handling: From the Factory Floor to the Anatomic Pathology Laboratory. aug: au: Sugianto, Jessica Z. Stewart, Brian Ambruzs, Josephine M. Arista, Amanda Park, Jason Y. Cope-Yokoyama, Sandy Luu, Hung S. affil: Department of Pathology, Children's Medical Center; University of Texas Southwestern Medical Center; Parkland Health and Hospital System, Dallas, Texas sug: ab: Objectives: To implement Lean principles to accommodate expanding volumes of gastrointestinal biopsies and to improve laboratory processes overall. Design: Our continuous improvement (kaizen) project analyzed the current state for gastrointestinal biopsy handling using value-stream mapping for specimens obtained at a 487-bed tertiary care pediatric hospital in Dallas, Texas. We identified non-value-added time within the workflow process, from receipt of the specimen in the histology laboratory to the delivery of slides and paperwork to the pathologist. To eliminate non-value-added steps, we implemented the changes depicted in a revised-state value-stream map. Results: Current-state value-stream mapping identified a total specimen processing time of 507 minutes, of which 358 minutes were non-value-added. This translated to a process cycle efficiency of 29%. Implementation of a revised-state value stream resulted in a total process time reduction to 238 minutes, of which 89 minutes were non-value-added, and an improved process cycle efficiency of 63%. Conclusions: Lean production principles of continuous improvement and waste elimination can be successfully implemented within the clinical laboratory. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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