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.
Någonting är fel
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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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


