Hewer Ekkehard, Hammer Caroline, Fricke-Vetsch Daniela, Baumann Cinzia, Perren Aurel, Schmitt Anja M
Institute of Pathology, University of Bern, Bern, Switzerland.
J Clin Pathol. 2018 May;71(5):395-401. doi: 10.1136/jclinpath-2017-204504. Epub 2017 Sep 30.
To systematically assess the effects of a Lean management intervention in an academic cytopathology service.
We monitored outcomes including specimen turnaround times during stepwise implementation of a lean cytopathology workflow for gynaecological and non-gynaecological cytology.
The intervention resulted in a major reduction of turnaround times for both gynaecological (3rd quartile 4.1 vs 2.3 working days) and non-gynaecological cytology (3rd quartile 1.9 vs. 1.2 working days). Introduction of fully electronic reporting had additional effect over continuous staining of slides alone. The rate of non-gynaecological specimens reported the same day increased from 4.5% to 56.5% of specimens received before noon.
Lean management principles provide a useful framework for organization of a cytopathology workflow. Stepwise implementation beginning with a simplified gynaecological cytology workflow allowed involved staff to monitor the effects of individual changes and allowed for a smooth transition.
系统评估精益管理干预措施在学术性细胞病理学服务中的效果。
我们监测了相关结果，包括在逐步实施妇科和非妇科细胞学的精益细胞病理学工作流程期间的标本周转时间。
该干预措施使妇科（第三四分位数从4.1个工作日降至2.3个工作日）和非妇科细胞学（第三四分位数从1.9个工作日降至1.2个工作日）的周转时间大幅缩短。引入完全电子化报告比仅持续进行玻片染色具有额外效果。上午12点前收到的非妇科标本当日报告率从4.5%提高到了56.5%。
精益管理原则为细胞病理学工作流程的组织提供了一个有用的框架。从简化的妇科细胞学工作流程开始逐步实施，使相关工作人员能够监测各个变化的效果，并实现平稳过渡。
