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A “LEAN” YEAR IN THE HISTOLOGY LAB

A “LEAN” YEAR IN THE HISTOLOGY LAB. Team Members: Leela Arackal, Dr. Amanda Baldwin, Linda Dowd, Dr. Umesh Kapur, Jeff McDonough, Jim Robinson, Naina Shah, Raj Singh, Dr. Sara Smith, and Marcia Snyder. What is LEAN?.

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A “LEAN” YEAR IN THE HISTOLOGY LAB

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  1. A “LEAN” YEARIN THE HISTOLOGY LAB Team Members: Leela Arackal, Dr. Amanda Baldwin, Linda Dowd, Dr. Umesh Kapur, Jeff McDonough, Jim Robinson, Naina Shah, Raj Singh, Dr. Sara Smith, and Marcia Snyder.

  2. What is LEAN? • LEAN is a systematic approach to identifying and eliminating waste through continuous improvements in the processes used.

  3. The Problem: • Histology slides of unacceptable quality need to be remade; this rework increases the cost of making the slide and increases the completion time. These increases decrease both the quality of patient care and the level of customer satisfaction.

  4. The Goal: • Improve acceptable slide quality to 90% by October 2008. • Remove waste in the process of making the slides.

  5. Improving the Process: • Acceptable slide quality was 80% in February of 2008. By October of 2008 it had increased to 93%, surpassing our goal of 90%. • New instrumentation is responsible for a large part of slide quality improvement. • The LEAN committee developed a faster, electronic method of pathologist feedback on slide quality.

  6. Getting Rid of the Waste: • Eliminated log of stained slides. • Saved over 2800 pages of paper/year. • Saved 30 minutes/day of tech time to manually write the log, or 130 hours of labor/year. • Combined the separate Electron Microscopy and Immunofluorescent log books into one log book. • Saved 45 minutes/day of tech time, or 195 hours/year of labor.

  7. Getting Rid of the Waste (cont.) • Reduced the use of new H&E control slides by using existing, unused slides • Saved 12hrs/year of labor. • Saved $122/year in slides. • Reduced the amount of slides needing to be incinerated (greener for the environment!). • Reduced the use of negative control from once per case to once per run. • Reduced number of tests run by 134 tests/month, or 1,608 tests/year. • Saved $8780/year.

  8. Getting Rid of the Waste (cont.) • Eliminated the use of Para/Gard, a chemical used in cleaning the work area, and replaced it with baby oil. • Savings of $816/year. • Eliminated the use of Easycut. Replaced this with fabric softener. • Savings of $1176/year. • Both of these substitutions are less toxic to the techs using them, as well as less toxic to the environment.

  9. Slide Quality

  10. Summary • Slide quality goal was met, with 93% of slides acceptable. • Trimming waste from the process yielded a savings of: • $7,750 in labor. • $10,894 in supplies. • Total savings of $18,645/year.

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