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
Lean
På fyra år försvann kvalitetsbristkostnaderna nästan helt på Sterilteknik och logistisk på Karolinska universitetssjukhuset i Solna och Huddinge. Var det en ny banbrytande metod som ordnade det? Nej inte alls, det var traditionellt Lean-arbete.
– Men jag undviker att fokusera på det ordet, säger logistikchefen Fredrik Ekström.

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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


