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.