Det är lugnt och stilla inne i ”diskrummet” – platsen där Karolinska universitetssjukhusets alla operationsredskap först rengörs för hand och sedan i stora diskdesinfektorer – och medarbetarnas koncentration ligger tät. Samma fokus råder i steriliseringsrummet där sterilklädda anställda sitter lutade över hundratals olika instrument för att säkerställa att ingen rost eller organisk vävnad sitter kvar på instrumenten efter att de har diskats.
Lean-arbetet räddade sjukhusavdelningen från totalkrasch
Ledarskap & styrning
Genom att implementera Lean-filosofin har Karolinska universitetssjukhuset åstadkommit dramatiska förändringar. De har räddat sin steriliseringsavdelning från kaos, och minskat operationskostnaderna med över 35 procent. Men mannen bakom leanarbetet, Fredrik Ekström, använder inte ordet Lean så mycket:
– Jag vill hellre prata om rotorsaker och hur vi strävar mot ständiga förbättringar.

Fredrik Ekström, logistikchef.
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– Om någon tappar en penna här och plockar upp den från golvet, då måste den sprita händerna igen, säger Fredrik Ekström, logistikchef på Sterilteknik och logistisk på Karolinska universitetssjukhuset.
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


