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Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase

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 p...

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Autores principales: Letelier, Pablo, Guzmán, Neftalí, Medina, Gustavo, Calcumil, Luis, Huencho, Pamela, Mora, Jonathan, Quiñones, Francisco, Jara, Jorge, Reyno, Cristóbal, Farías, Jorge G., Herrera, Belén Lisandra, Brebi, Priscilla, Riquelme, Ismael, San, Martín Andrés
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Medical Biochemists of Serbia, Belgrade 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7857853/
https://www.ncbi.nlm.nih.gov/pubmed/33584137
http://dx.doi.org/10.5937/jomb0-26055
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author Letelier, Pablo
Guzmán, Neftalí
Medina, Gustavo
Calcumil, Luis
Huencho, Pamela
Mora, Jonathan
Quiñones, Francisco
Jara, Jorge
Reyno, Cristóbal
Farías, Jorge G.
Herrera, Belén Lisandra
Brebi, Priscilla
Riquelme, Ismael
San, Martín Andrés
author_facet Letelier, Pablo
Guzmán, Neftalí
Medina, Gustavo
Calcumil, Luis
Huencho, Pamela
Mora, Jonathan
Quiñones, Francisco
Jara, Jorge
Reyno, Cristóbal
Farías, Jorge G.
Herrera, Belén Lisandra
Brebi, Priscilla
Riquelme, Ismael
San, Martín Andrés
author_sort Letelier, Pablo
collection PubMed
description 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: 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: A reduction (p < 0.05) in turnaround times in the delivery of glucose test results at the adult emergency service was observed (84 to 73 min, 13%, pre and post). In addition, there was a non-significant reduction in the turnaround times for glucose (Medicine) and haematocrit in both services. In the analytical and post-analytical phase (not intervened), an increase in turnaround times was observed in some cases. 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.
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spelling pubmed-78578532021-02-12 Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase Letelier, Pablo Guzmán, Neftalí Medina, Gustavo Calcumil, Luis Huencho, Pamela Mora, Jonathan Quiñones, Francisco Jara, Jorge Reyno, Cristóbal Farías, Jorge G. Herrera, Belén Lisandra Brebi, Priscilla Riquelme, Ismael San, Martín Andrés J Med Biochem Original Paper 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: 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: A reduction (p < 0.05) in turnaround times in the delivery of glucose test results at the adult emergency service was observed (84 to 73 min, 13%, pre and post). In addition, there was a non-significant reduction in the turnaround times for glucose (Medicine) and haematocrit in both services. In the analytical and post-analytical phase (not intervened), an increase in turnaround times was observed in some cases. 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. Society of Medical Biochemists of Serbia, Belgrade 2021-01-26 2021-01-26 /pmc/articles/PMC7857853/ /pubmed/33584137 http://dx.doi.org/10.5937/jomb0-26055 Text en 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 http://creativecommons.org/licenses/by/4.0/This work is licensed under the Creative Commons Attribution 4.0 License.
spellingShingle Original Paper
Letelier, Pablo
Guzmán, Neftalí
Medina, Gustavo
Calcumil, Luis
Huencho, Pamela
Mora, Jonathan
Quiñones, Francisco
Jara, Jorge
Reyno, Cristóbal
Farías, Jorge G.
Herrera, Belén Lisandra
Brebi, Priscilla
Riquelme, Ismael
San, Martín Andrés
Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase
title Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase
title_full Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase
title_fullStr Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase
title_full_unstemmed Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase
title_short Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase
title_sort workflow optimization in a clinical laboratory using lean management principles in the pre-analytical phase
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7857853/
https://www.ncbi.nlm.nih.gov/pubmed/33584137
http://dx.doi.org/10.5937/jomb0-26055
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