Implementation of a ‘lean’ cytopathology service: towards routine same-day reporting
ObjectivesTo systematically assess the effects of a Lean management intervention in an academic cytopathology service.MethodsWe monitored outcomes including specimen turnaround times during stepwise implementation of a lean cytopathology workflow for gynaecological and non-gynaecological cytology.Re...
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| Veröffentlicht in: | Journal of clinical pathology 2018-05, Vol.71 (5), p.395-401 |
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| container_title | Journal of clinical pathology |
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| creator | Hewer, Ekkehard Hammer, Caroline Fricke-Vetsch, Daniela Baumann, Cinzia Perren, Aurel Schmitt, Anja M |
| description | ObjectivesTo systematically assess the effects of a Lean management intervention in an academic cytopathology service.MethodsWe monitored outcomes including specimen turnaround times during stepwise implementation of a lean cytopathology workflow for gynaecological and non-gynaecological cytology.ResultsThe 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.ConclusionsLean 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. |
| doi_str_mv | 10.1136/jclinpath-2017-204504 |
| format | Article |
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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.ConclusionsLean 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.</description><identifier>ISSN: 0021-9746</identifier><identifier>EISSN: 1472-4146</identifier><identifier>DOI: 10.1136/jclinpath-2017-204504</identifier><identifier>PMID: 28974539</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Cellular biology ; Defects ; Gynecology ; Histology ; Histopathology ; Laboratories ; Lean manufacturing ; Pathology ; Patient safety ; Quality</subject><ispartof>Journal of clinical pathology, 2018-05, Vol.71 (5), p.395-401</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Copyright: 2018 © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b378t-e204373c9c4b0aee55ae8c27fbf992f84679bbc7bf7ea7e935aff9dec8a3e203</citedby><cites>FETCH-LOGICAL-b378t-e204373c9c4b0aee55ae8c27fbf992f84679bbc7bf7ea7e935aff9dec8a3e203</cites><orcidid>0000-0002-9128-0364</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28974539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hewer, Ekkehard</creatorcontrib><creatorcontrib>Hammer, Caroline</creatorcontrib><creatorcontrib>Fricke-Vetsch, Daniela</creatorcontrib><creatorcontrib>Baumann, Cinzia</creatorcontrib><creatorcontrib>Perren, Aurel</creatorcontrib><creatorcontrib>Schmitt, Anja M</creatorcontrib><title>Implementation of a ‘lean’ cytopathology service: towards routine same-day reporting</title><title>Journal of clinical pathology</title><addtitle>J Clin Pathol</addtitle><description>ObjectivesTo systematically assess the effects of a Lean management intervention in an academic cytopathology service.MethodsWe monitored outcomes including specimen turnaround times during stepwise implementation of a lean cytopathology workflow for gynaecological and non-gynaecological cytology.ResultsThe 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.ConclusionsLean 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.</description><subject>Cellular biology</subject><subject>Defects</subject><subject>Gynecology</subject><subject>Histology</subject><subject>Histopathology</subject><subject>Laboratories</subject><subject>Lean manufacturing</subject><subject>Pathology</subject><subject>Patient safety</subject><subject>Quality</subject><issn>0021-9746</issn><issn>1472-4146</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkLtOwzAUhi0EgnJ5BJAlFpaAHTtxzIYQl0qVWDqwWY57XFIlcbATUDceA16vT4KrFgYmFh_p6Pt_H30InVJySSnLrxamrtpO9y9JSqiID88I30EjykWacMrzXTQiJKWJFDw_QIchLAihTFC2jw7SIm4zJkfoedx0NTTQ9rqvXIudxRqvPj5r0O3q4wubZe_Wv7jazZc4gH-rDFzj3r1rPwvYu6GvWsBBN5DM9BJ76JyPq_kx2rO6DnCynUdoen83vX1MJk8P49ubSVIyUfQJxMOZYEYaXhINkGUaCpMKW1opU1vwXMiyNKK0ArQAyTJtrZyBKTSLWXaELja1nXevA4ReNVUwUNe6BTcERSUXROaZyCJ6_gdduMG38TgVixiVVBR5pLINZbwLwYNVna8a7ZeKErU2r37Nq7V5tTEfc2fb9qFsYPab-lEdAbIBymbxz85vgC6Uqg</recordid><startdate>201805</startdate><enddate>201805</enddate><creator>Hewer, Ekkehard</creator><creator>Hammer, Caroline</creator><creator>Fricke-Vetsch, Daniela</creator><creator>Baumann, Cinzia</creator><creator>Perren, Aurel</creator><creator>Schmitt, Anja M</creator><general>BMJ Publishing Group LTD</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9128-0364</orcidid></search><sort><creationdate>201805</creationdate><title>Implementation of a ‘lean’ cytopathology service: towards routine same-day reporting</title><author>Hewer, Ekkehard ; Hammer, Caroline ; Fricke-Vetsch, Daniela ; Baumann, Cinzia ; Perren, Aurel ; Schmitt, Anja M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b378t-e204373c9c4b0aee55ae8c27fbf992f84679bbc7bf7ea7e935aff9dec8a3e203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Cellular biology</topic><topic>Defects</topic><topic>Gynecology</topic><topic>Histology</topic><topic>Histopathology</topic><topic>Laboratories</topic><topic>Lean manufacturing</topic><topic>Pathology</topic><topic>Patient safety</topic><topic>Quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hewer, Ekkehard</creatorcontrib><creatorcontrib>Hammer, Caroline</creatorcontrib><creatorcontrib>Fricke-Vetsch, Daniela</creatorcontrib><creatorcontrib>Baumann, Cinzia</creatorcontrib><creatorcontrib>Perren, Aurel</creatorcontrib><creatorcontrib>Schmitt, Anja M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hewer, Ekkehard</au><au>Hammer, Caroline</au><au>Fricke-Vetsch, Daniela</au><au>Baumann, Cinzia</au><au>Perren, Aurel</au><au>Schmitt, Anja M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of a ‘lean’ cytopathology service: towards routine same-day reporting</atitle><jtitle>Journal of clinical pathology</jtitle><addtitle>J Clin Pathol</addtitle><date>2018-05</date><risdate>2018</risdate><volume>71</volume><issue>5</issue><spage>395</spage><epage>401</epage><pages>395-401</pages><issn>0021-9746</issn><eissn>1472-4146</eissn><abstract>ObjectivesTo systematically assess the effects of a Lean management intervention in an academic cytopathology service.MethodsWe monitored outcomes including specimen turnaround times during stepwise implementation of a lean cytopathology workflow for gynaecological and non-gynaecological cytology.ResultsThe 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.ConclusionsLean 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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28974539</pmid><doi>10.1136/jclinpath-2017-204504</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9128-0364</orcidid></addata></record> |
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| subjects | Cellular biology Defects Gynecology Histology Histopathology Laboratories Lean manufacturing Pathology Patient safety Quality |
| title | Implementation of a ‘lean’ cytopathology service: towards routine same-day reporting |
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