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精益管理在医学实验室中的应用以助力急性中风患者的治疗。

Application of lean management in medical laboratories to help treat patients with acute stroke.

作者信息

Ma Nuoya, Ding Xiaofang, Tang Xudong, Xia Zhenzhu, Guo Qi, Yang Yan, Yan Kun, Zou Guoying

机构信息

Department of Clinical Laboratory, The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha, Hunan, China.

出版信息

Sci Rep. 2025 Jul 28;15(1):27485. doi: 10.1038/s41598-025-12955-y.

Abstract

This study investigated the application effect of lean management in the treatment of acute stroke in medical laboratories and evaluated the impact on laboratory turnaround time (TAT) and operator satisfaction. In this study, 287 patients with acute stroke were selected from the Second People's Hospital of Hunan Province and divided into a control group (129 cases, before lean management) and an experimental group (158 cases, after lean management). Lean management measures included establishing fast transfer channels, information management, optimisation of the centrifuge configuration, priority management, personnel training, use of the 6 S method, and visual management to optimise the process. The effects of lean management were evaluated by comparing the TAT of key inspection items using an operator satisfaction questionnaire. Lean management shortened the TAT for coagulation (21-18 min) and biochemical (33-29 min) tests (P = 0.000). Laboratory operators reported that lean management positively affects the overall performance of the laboratory. The application of lean management in medical laboratories can effectively improve the treatment efficiency of patients with acute stroke, shorten the TAT of key detection items, and provide high satisfaction among laboratory personnel.

摘要

本研究探讨了精益管理在医学检验实验室急性脑卒中治疗中的应用效果,并评估其对实验室周转时间(TAT)和操作人员满意度的影响。本研究从湖南省第二人民医院选取287例急性脑卒中患者,分为对照组(129例,精益管理实施前)和实验组(158例,精益管理实施后)。精益管理措施包括建立快速转运通道、信息管理、优化离心机配置、优先级管理、人员培训、运用6S方法以及可视化管理以优化流程。通过使用操作人员满意度调查问卷比较关键检验项目的TAT来评估精益管理的效果。精益管理缩短了凝血(从21分钟至18分钟)和生化(从33分钟至29分钟)检验的TAT(P = 0.000)。实验室操作人员报告称精益管理对实验室的整体绩效有积极影响。精益管理在医学检验实验室中的应用可有效提高急性脑卒中患者的治疗效率,缩短关键检测项目的TAT,并在实验室人员中提供较高的满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6427/12304094/ba9f47b3ed5b/41598_2025_12955_Fig1_HTML.jpg

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