As you very well said "histology is a different animal". It is not that "common sense" changes can be done under the "lean umbrella" like higher efficiency at every step, but the real "unitary or quasi unitary" workflow is out of the question.
The ones that have approached closest to the implementation of Lean in histology is Sakura with their Xpress and it has been done will small batches (of 40 cassettes the most) but batching cannot be eliminated.
All in all Lean isn't suitable for processes that require a high degree of craftmanship, as histology does (remember the step called secioning?).
Artisanship takes time, and any creative process trades inefficiency for creative results, and that is the realm of histology.
Sakura has an automated embedding center and Kurado company has developed an instrument (the Kurado AS200) to section, but only specimens the are standard and for multiple sections, like controls.
We are a long way from Lean, we are closer to Six Sigma and all its controls and QA steps.
Jesus Ellin wrote:
Was wondering if anyone can share with me experiences were your lab has
gone through the LEAN process,,, shots coming, pit fall,, road blocks,
or even improvements. Currently our organization is under going a
culture change, as we are seen through out health care and we are being
asked (TOLD) to embrance theses concepts,, been through lean trainging
for the clinical lab, but really see histology as a different animal.
So wanting to get some adive on this portion of the lab.
Jesus Ellin HT/PA ASCP
Yuma Regional Medical Center
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