Applying Lean/Toyota production system principles to improve phlebotomy patient satisfaction and workflow

Am J Clin Pathol. 2009 Dec;132(6):914-9. doi: 10.1309/AJCP7FIKZVVTFTXQ.

Abstract

Our goals were to improve the overall patient experience and optimize the blood collection process in outpatient phlebotomy using Lean principles. Elimination of non-value-added steps and modifications to operational processes resulted in increased capacity to handle workload during peak times without adding staff. The result was a reduction of average patient wait time from 21 to 5 minutes, with the goal of drawing blood samples within 10 minutes of arrival at the phlebotomy station met for 90% of patients. In addition, patient satisfaction increased noticeably as assessed by a 5-question survey. The results have been sustained for 10 months with staff continuing to make process improvements.

MeSH terms

  • Efficiency, Organizational*
  • Humans
  • Outpatient Clinics, Hospital / organization & administration*
  • Outpatients
  • Patient Satisfaction*
  • Phlebotomy / methods*
  • Time Factors
  • Workflow*