Implementation of a 'lean' cytopathology service: towards routine same-day reporting.
J Clin Pathol
; 71(5): 395-401, 2018 May.
Article
em En
| MEDLINE
| ID: mdl-28974539
ABSTRACT
OBJECTIVES:
To systematically assess the effects of a Lean management intervention in an academic cytopathology service.METHODS:
We monitored outcomes including specimen turnaround times during stepwise implementation of a lean cytopathology workflow for gynaecological and non-gynaecological cytology.RESULTS:
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.CONCLUSIONS:
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Patologia Clínica
/
Manejo de Espécimes
/
Citodiagnóstico
/
Registros Eletrônicos de Saúde
/
Fluxo de Trabalho
Tipo de estudo:
Evaluation_studies
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
J Clin Pathol
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
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