Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase.
Lean methodology
clinical laboratory
preanalytical phase
Journal
Journal of medical biochemistry
ISSN: 1452-8258
Titre abrégé: J Med Biochem
Pays: Serbia
ID NLM: 101315490
Informations de publication
Date de publication:
26 Jan 2021
26 Jan 2021
Historique:
received:
11
04
2020
accepted:
10
05
2020
entrez:
15
2
2021
pubmed:
16
2
2021
medline:
16
2
2021
Statut:
ppublish
Résumé
The application of the Lean methodology in clinical laboratories can improve workflow and user satisfaction through the efficient delivery of analytical results. The purpose of this study was to optimise delivery times of the test results at a clinical laboratory, using Lean management principles in the pre-analytical phase. A prospective study with a quasi-experimental design was implemented. Staff functions were restructured and sample flows were modified. Delivery times of clinical results (glucose and haematocrit; 6648 data) from the Medicine and Adult Emergency services for years 2017 and 2018 were compared. A reduction ( Other studies have indicated that the application of the Lean methodology in clinical laboratories improves workflow, increasing effectiveness and efficiency. This study showed an improvement in the delivery time of test results (glucose - Emergency), giving rise to a culture of cooperation and continuous improvement. It would, however, be essential to address the management model integrating the analytical and post-analytical phases. Primena Lean metodologije u kliničkim laboratorijama može da poboljša protok i funkcionisanje efikasnosti laboratorije u svrhu dobijanja analitičkih rezultata. Svrha ovog proučavanja je da se optimizuje vreme isporuke rezultata ispitivanja u kliničkoj laboratoriji primenom principa Lean-menadžmenta u pre-analitičkoj fazi. Primenjena je prospektivna studija kvazi-eksperimentalnog modela. Funkcionisanje osoblja je prilagođeno i pojednostavljen je protok uzoraka. Vreme isporuke kliničkih rezultata (glukoze i hematokrita) iz Kliničkog i Urgentnog odeljenja za odrasle u periodu od 2017 do 2018. Nađeno je smanjenje (p < 0,05) obrtnog vremena pri isporuci rezultata za glukozu u odeljenje urgentne službe (84 do 73 min, 13%, pre i post). Dodatno nije bilo značajnog smanjenja obrtnog vremena za izdavanje rezultata za glukozu i hematokrit za kliničko odeljenje. U analitičkoj i post-analitičkoj fazi uočeno je izvesno povećanje obrtnih vremena u izvesnim slučajevima. Druga proučavanja koja su primenjivala Lean metodologiju u kliničkim laboratorijama ukazuju na poboljšanje protoka, efikasnosti i efektivnosti. Ovo izučavanje ukazuje na poboljšanje vremena isporuke rezultata ispitivanja (glukoza - hitnoj službi), ukazujući na stalnu mogućnost poboljšanja. Potrebno je ukazati da je neophodna primena menadžmenta na integrisanu analitičku i post-analitičku fazu.
Sections du résumé
BACKGROUND
BACKGROUND
The application of the Lean methodology in clinical laboratories can improve workflow and user satisfaction through the efficient delivery of analytical results. The purpose of this study was to optimise delivery times of the test results at a clinical laboratory, using Lean management principles in the pre-analytical phase.
METHODS
METHODS
A prospective study with a quasi-experimental design was implemented. Staff functions were restructured and sample flows were modified. Delivery times of clinical results (glucose and haematocrit; 6648 data) from the Medicine and Adult Emergency services for years 2017 and 2018 were compared.
RESULTS
RESULTS
A reduction (
CONCLUSIONS
CONCLUSIONS
Other studies have indicated that the application of the Lean methodology in clinical laboratories improves workflow, increasing effectiveness and efficiency. This study showed an improvement in the delivery time of test results (glucose - Emergency), giving rise to a culture of cooperation and continuous improvement. It would, however, be essential to address the management model integrating the analytical and post-analytical phases.
UVOD
UNASSIGNED
Primena Lean metodologije u kliničkim laboratorijama može da poboljša protok i funkcionisanje efikasnosti laboratorije u svrhu dobijanja analitičkih rezultata. Svrha ovog proučavanja je da se optimizuje vreme isporuke rezultata ispitivanja u kliničkoj laboratoriji primenom principa Lean-menadžmenta u pre-analitičkoj fazi.
METODE
METHODS
Primenjena je prospektivna studija kvazi-eksperimentalnog modela. Funkcionisanje osoblja je prilagođeno i pojednostavljen je protok uzoraka. Vreme isporuke kliničkih rezultata (glukoze i hematokrita) iz Kliničkog i Urgentnog odeljenja za odrasle u periodu od 2017 do 2018.
REZULTATI
UNASSIGNED
Nađeno je smanjenje (p < 0,05) obrtnog vremena pri isporuci rezultata za glukozu u odeljenje urgentne službe (84 do 73 min, 13%, pre i post). Dodatno nije bilo značajnog smanjenja obrtnog vremena za izdavanje rezultata za glukozu i hematokrit za kliničko odeljenje. U analitičkoj i post-analitičkoj fazi uočeno je izvesno povećanje obrtnih vremena u izvesnim slučajevima.
ZAKLJUČAK
UNASSIGNED
Druga proučavanja koja su primenjivala Lean metodologiju u kliničkim laboratorijama ukazuju na poboljšanje protoka, efikasnosti i efektivnosti. Ovo izučavanje ukazuje na poboljšanje vremena isporuke rezultata ispitivanja (glukoza - hitnoj službi), ukazujući na stalnu mogućnost poboljšanja. Potrebno je ukazati da je neophodna primena menadžmenta na integrisanu analitičku i post-analitičku fazu.
Autres résumés
Type: Publisher
(srp)
Primena Lean metodologije u kliničkim laboratorijama može da poboljša protok i funkcionisanje efikasnosti laboratorije u svrhu dobijanja analitičkih rezultata. Svrha ovog proučavanja je da se optimizuje vreme isporuke rezultata ispitivanja u kliničkoj laboratoriji primenom principa Lean-menadžmenta u pre-analitičkoj fazi.
Identifiants
pubmed: 33584137
doi: 10.5937/jomb0-26055
pii: jomb-40-1-2101026L
pmc: PMC7857853
doi:
Types de publication
Journal Article
Langues
eng
Pagination
26-32Informations de copyright
2021 Pablo Letelier, Neftalí Guzmán, Gustavo Medina, Luis Calcumil, Pamela Huencho, Jonathan Mora, Francisco Quiñones, Jorge Jara, Cristóbal Reyno, Jorge G. Farías, Belén Lisandra Herrera, Priscilla Brebi, Ismael Riquelme, Martín Andrés San, published by CEON/CEES.
Déclaration de conflit d'intérêts
Conflict of Interest: The authors stated that they have no conflicts of interest regarding the publication of this article.
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