第三方医学实验室精益管理实践探讨  

Exploration of lean management practice in independent clinical laboratory

作　　者：毛源 王玉琢 高娟 卞林翠 袁征 李志强 张明亮 Mao Yuan;Wang Yuzhuo;Gao Juan;Bian Lincui;Yuan Zheng;Li Zhiqiang;Zhang Mingliang(Hefei Kingmed Medical Laboratory,Hefei Anhui 230088,China;Nanjing Kingmed Medical Laboratory,Nanjing Jiangsu 210044,China)

机构地区：[1]合肥金域医学检验实验室,安徽合肥230088 [2]南京金域医学检验所,江苏南京210044

出　　处：《中华临床实验室管理电子杂志》2024年第4期193-198,共6页Chinese Journal of Clinical Laboratory Management(Electronic Edition)

摘　　要：目的探讨第三方医学实验室精益管理的应用价值。方法通过建立精益管理工作小组、实施6S管理、管控科室人均效率、改进低效率工作流程、管控试剂有效使用率、管控检测设备有效使用、设立精益管理改进课题、保证改进工作标准化、匹配改进及节约激励9种方法来实践第三方医学实验室的精益管理。结果实验室试点科室实施了精益管理之后,科室样本检测的人均效率分别提升了1.94%~69.19%,科室的质量指标分别改进了13.88%~55.56%,科室的创新成果分别增长了6.67%~184.62%。科室的浮动成本(包括试剂成本、人力成本、设备分摊成本等)分别下降了0.68%~14.44%。结论医学实验室精益管理可以与实验室专业管理和质量管理有机结合,在医学实验室效率提升、质量管理、科技创新、成本控制等方面发挥更加积极的作用。Objective To explore the application value of lean management in independent clinical laboratory.Methods The lean management of the independent clinical laboratory was practiced by establishing lean management working group,implementing 6S management,controlling the per capita efficiency of the department,improving inefficient work processes,controlling the effective utilization rate of reagents,controlling the effective use of testing equipment,setting up the lean management improvement project,ensuring the standardization of the improvement work,and aligning improvement with cost-saving incentives.Results After implementing lean management in pilot departments of the laboratory,the per capita efficiency of sample testing increased by 1.94%~69.19%,the quality indicators of the departments improved by 13.88%~55.56%,and the innovation achievements of the departments increased by 6.67%~184.62%,respectively.Additionally,the variable cost of the department(including reagent cost,labor cost,equipment allocation cost,etc.)decreased by 0.68%to 14.44%respectively.Conclusion Lean management in clinical laboratory can be organically integrated with professional management and quality management,and play a more active role in improving efficiency,quality management,scientific and technological innovation and cost control of clinical laboratory.

关 键 词：第三方医学实验室 精益管理 6S管理 流程改进 

分 类 号：G64[文化科学—高等教育学]