Preliminary results of Lean method implementation in a pathology lab from Northeastern Brazil

Quetz, Josiane da Silva; Dantas, Italo F.; Hirth, Carlos Gustavo; Brasil, Carlos G.; Juaçaba, Sérgio Ferreira

doi:10.5935/1676-2444.20150007

Cited by 3 publications

(6 citation statements)

References 13 publications

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“…In the study carried out in South Dokota, the total cycle time was reduced by 67% and the number of samples examined increased (37). As a result of the study conducted in a pathology laboratory in an oncology hospital in Brazil, the reporting time were reduced (38). In another study conducted in Canada, the rate of autopsy reports given within 90 days was increased from 37% to 74% (39).…”

Section: Discussionmentioning

confidence: 98%

Lean methodology for pathology laboratories: a case study from a public hospital

Durur¹,

Akbulut²

2019

TJPATH

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Objective: The increase in the financial imposition of laboratories together with developing technology and evidence-based medicine applications increased the importance of quality and efficiency studies in laboratories. The aim of the study is to examine the processes of pathology laboratory, determine the causes of waste and select lean management techniques to eliminate the causes of waste. Material and Method: A five-phase plan was used for the application of lean management in the pathology laboratory. After a comprehensive literature review, these phases were determined as follows; the support of the senior management, observation, training of employees, drawing of value stream maps and creation of value stream plan. Gastric biopsy process was selected as product/service family when value stream maps were generated. In addition, fishbone diagram and Pareto analysis were used to determine the causes of waste. Results: In the current state, 73.6% of the time spent on a gastric biopsy sample in the pathology laboratory was wasted. The most common causes of waste were identified as problems with cleaning, equipment supply problems, lack of clinical information, equipment malfunction and errors. A value stream plan was developed with lean techniques to eliminate the causes of these wastes. In the pathology laboratory, a 4.6% improvement will be achieved with the achievement of the future stated target. Conclusion: A model for lean management techniques in a developing country that will enable the pathology laboratories to work more efficiently and with improved quality has been developed in this study.

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Section: Discussionmentioning

confidence: 98%

Lean methodology for pathology laboratories: a case study from a public hospital

Durur¹,

Akbulut²

2019

TJPATH

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“…As a result of the current research, the change in location made in the pathology laboratory eliminated an average of 230,000 unnecessary steps per year. Previous studies have shown that unnecessary walking and motion in laboratories can be avoided with the lean management studies (Hayes et al , 2014; Yerian et al , 2012; Yalcin et al , 2018; Quetz et al , 2015). The prevention of unnecessary movement with ergonomic work areas created with lean practices also provides the opportunity for more samples to be examined in the laboratory (Quetz et al , 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown that unnecessary walking and motion in laboratories can be avoided with the lean management studies (Hayes et al , 2014; Yerian et al , 2012; Yalcin et al , 2018; Quetz et al , 2015). The prevention of unnecessary movement with ergonomic work areas created with lean practices also provides the opportunity for more samples to be examined in the laboratory (Quetz et al , 2015). The real-time improvements applied together with Kaizen eliminated the factors negatively affecting the work processes and the points of waste in the laboratory.…”

Section: Discussionmentioning

confidence: 99%

“…These implementations have shown that the lean techniques are effective in decreasing waiting times and the costs of healthcare institutions and in increasing the patient satisfaction (Antony et al , 2019). However, there are few studies in literature on the subject of the implementation of lean techniques in the pathology laboratory (Zarbo and D’Angelo, 2007; Raab et al , 2008; Serrano et al , 2010; Gijo et al , 2013; Hayes et al , 2014; Quetz et al , 2015; Yorukoglu et al , 2017; Cromwell et al , 2018; Durur and Akbulut, 2019). The majority of these studies have focused on improving the processes, and few have examined the effect of lean techniques on turnaround time in pathology laboratory (Raab, 2008; Sugianto et al , 2015; Alshieban and Al-Surimi, 2015; Gupta et al , 2018; Mujtabai et al , 2020).…”

Section: Introductionmentioning

confidence: 99%

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Reducing turnaround time in a pathology laboratory using the lean methodology

Akbulut

Usubütün

Durur

et al. 2023

IJLSS

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Purpose The aim of this study is to determine the effect of the application of the lean methodoloy in the pathology laboratory and to evaluate the results on the turnaround time. Design/methodology/approach This study was a prospective intervention study formed of the three stages of pre-intervention, determination of problem areas and the application of lean techniques and quality improvement. The study was conducted between February 2019 and August 2020. In the first stage, research was made through interviews, observations, questionnaires and seminars; in the second stage, observations, brain-storming, process flowcharts and fishbone diagram were used; and in the third stage, Kaizen, A3 method and spaghetti diagram were applied. Findings Following the application of lean techniques, turnaround time in the pathology laboratory was decreased, and the changes made in the working methods and placement of the units in the laboratory were found to have prevented unnecessary steps. The lean method was also determined to have had positive effects on the workplace satisfaction of the laboratory employees and of the physicians working with the laboratory. Originality/value The results showed that applying lean techniques could reduce waste and increase participation in processes. This article demonstrates its originality and relevance by proving that the lean techniques can be applied in the hospital laboratory. Actions to improve turnaround time are also crucial for the efficient use of resources.

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“…In the application reported in the articles the place that appears in most studies refer to results in the State of São Paulo (da Cunha et al, 2011, Hors et al, 2012, Eiro and Torres-Junior, 2015, da Silva et al, 2015, Furukawa et al, 2016, Henrique et al, 2016, followed by one application in the state of Ceará (Quetz et al, 2015). Referring to the application site it was noted that most studies relate to applications in hospitals, where one of the studies concerns the application in a clinical (Hors et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

LEAN & HEALTHCARE ORGANIZATIONS - A SYSTEMATIC LITERATURE REVIEW WITH BIBLIOMETRIC ANALYSIS ON APPLICATION OF LEAN HEALTHCARE IN BRAZIL

Ferreira

Silva

Tanaka

et al. 2016

Braz. J. of Operations & Production Manag.

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Despite having its roots in the Japanese automotive industry, Lean philosophy has been successfully applied in many companies of different sectors. In recent years several studies have been done regarding the potential of this managerial technology that may transform the healthcare organizations. The objective of this theoretical research paper is to conduct a Systematic Literature Review (SLR) with bibliometric analysis on application of Lean healthcare in Brazil. The aim is to understand the advancement of this research field in Brazil, investigating how Lean thinking has been put into practice and how this innovation has helped those companies to deliver more value to its customers. Peer reviewed articles were searched in 9 data sources. At first, a total of 5,473 articles were identified, which were reduced to 2,983 after Endnote software duplicate reference analysis. 789 articles were screened, after reviewing the adherence to the topic. Resulting in a sample of only 9 articles, after all inclusion criteria were match. The results suggest that Lean thinking has been applied successfully in many healthcare organizations. However, the research field in Brazil is quite new, having a great potential to increase.

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Preliminary results of Lean method implementation in a pathology lab from Northeastern Brazil

Cited by 3 publications

References 13 publications

Lean methodology for pathology laboratories: a case study from a public hospital

Lean methodology for pathology laboratories: a case study from a public hospital

Reducing turnaround time in a pathology laboratory using the lean methodology

LEAN & HEALTHCARE ORGANIZATIONS - A SYSTEMATIC LITERATURE REVIEW WITH BIBLIOMETRIC ANALYSIS ON APPLICATION OF LEAN HEALTHCARE IN BRAZIL

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