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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Quality control is one of the three cyclical quality assurance activities that help keep a system under statistical control. Typical quality control activities include creating quality control charts, conducting proficiency testing, and documenting and archiving results.
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Workflow optimization in a clinical laboratory using Lean management principles in the pre-analytical phase.

Pablo Letelier1, Neftalí Guzmán1, Gustavo Medina1

  • 1Universidad Católica de Temuco, Facultad de Ciencias de la Salud, Departamento de Procesos Diagnósticos y Evaluación, Precision Health Research Laboratory, Temuco, Chile.

Journal of Medical Biochemistry
|February 15, 2021
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Summary

Lean methodology significantly reduced glucose test result delivery times in an adult emergency service by 13%. This study highlights Lean

Keywords:
Lean methodologyclinical laboratorypreanalytical phase

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Area of Science:

  • Clinical Laboratory Management
  • Healthcare Operations
  • Process Improvement

Background:

  • Lean methodology enhances clinical laboratory workflow and user satisfaction.
  • Efficient delivery of analytical results is a key objective.
  • Optimizing pre-analytical phase is crucial for turnaround times.

Purpose of the Study:

  • To optimize test result delivery times in a clinical laboratory.
  • To apply Lean management principles specifically to the pre-analytical phase.
  • To evaluate the impact of Lean implementation on turnaround times.

Main Methods:

  • Prospective study with a quasi-experimental design.
  • Restructured staff functions and modified sample flows.
  • Compared delivery times for glucose and haematocrit tests (6648 data points) from 2017-2018.

Main Results:

  • Significant reduction (p < 0.05) in glucose test turnaround times at the adult emergency service (13% decrease).
  • Non-significant reductions observed for glucose (Medicine) and haematocrit in both services.
  • Turnaround times increased in analytical and post-analytical phases (not intervened).

Conclusions:

  • Lean methodology application improves clinical laboratory workflow, effectiveness, and efficiency.
  • This study demonstrated improved glucose test result delivery times, fostering a culture of continuous improvement.
  • Integrating analytical and post-analytical phases into management models is essential for comprehensive optimization.