Implementation of a ‘lean’ cytopathology service: towards routine same-day reporting

Hewer, Ekkehard; Hammer, Caroline; Fricke-Vetsch, Daniela; Baumann, Cinzia; Perren, Aurel; Schmitt, Anja M. (2018). Implementation of a ‘lean’ cytopathology service: towards routine same-day reporting. Journal of clinical pathology, 71(5), pp. 395-401. BMJ Publishing Group 10.1136/jclinpath-2017-204504

[img] Text
jclinpath-2017-204504.full.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (820kB) | Request a copy

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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Pathology > Cytopathology
04 Faculty of Medicine > Service Sector > Institute of Pathology

UniBE Contributor:

Hewer, Ekkehard; Hammer, Caroline; Fricke, Daniela; Baumann, Cinzia; Perren, Aurel and Schmitt Kurrer, Anja

Subjects:

500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health

ISSN:

0021-9746

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Ekkehard Hewer

Date Deposited:

04 Oct 2017 11:23

Last Modified:

21 Apr 2018 01:30

Publisher DOI:

10.1136/jclinpath-2017-204504

PubMed ID:

28974539

BORIS DOI:

10.7892/boris.105762

URI:

https://boris.unibe.ch/id/eprint/105762

Actions (login required)

Edit item Edit item
Provide Feedback