lean in the laboratory linda whaley, ms, rn vice-president clinical services anne iehl, mt (ascp)...
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LEAN IN THE LABORATORY
Linda Whaley, MS, RN Vice-President Clinical ServicesAnne Iehl, MT (ASCP) Assistant Lab Manager
GOALS:
GOALS:
1. 90% of morning work completed by 8 A.M. 2. Reduce turn-around time of lab results.
3. Improve physician satisfaction.
PHLEBOTOMY – 5:30 AM Start Time
Small Tests of Change:1. Draw 3 transport to lab May 21-May 31 ● Of 9 monitored days, obtained 90% goal 2 times (22%)2. Runner June 1-June 21 ● Of 21 monitored days, obtained 90% goal 14 times (66%)3. Swarming June 22-June 28 ● Of 7 monitored days, obtained 90% goal 1 time (14%)Result: Runner implemented One additional person added to 5:30 AM shift
GOALS:
OUTPATIENT SPECIMEN PROCESS
Changed location of OP phlebotomy
from Main Lab to Front Entrance area with pneumatic tube system.
Main Lab Distance = 420 feet
Front Entrance Distance = 150 feet
GOALS:
GOAL SUMMARY1. 90% of morning work completed by 8 AM ● Pre-LEAN: 45% of work complete by 8 AM March 2010: 90% of work complete by 8 AM ● Standardized Phlebotomy Trays Pre-LEAN: Over 30 trays March 2010: 10 Standardized trays ● Scheduled 2nd phlebotomist at 5:30 AM ● Implemented a “runner” ● Nurses doing central line blood draws
GOALS:
GOAL SUMMARY
2. Reduce turn-around time of lab results
● Specimen drop-off area
● Efficient “race track” layout of lab
● Conversion of collection tubes
GOALS:
Other LEAN Process Improvements
Front Entrance Specimen Process
■ Outpatient blood draws
■ Client drop off Supply Inventory Time clock added closer to Lab
(approx. saving = $6552/yr.)
GOALS:
PLANS FOR 2010
1. Standardize storeroom supplies
● Main Lab
● Front Entrance
2. Auto-verification
3. Standardize phone system
4. Sustain turn-around-time improvement!
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