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 avdelningen 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
Du är inloggad som prenumerant hos förlaget Pauser Media, men nånting är fel. På din profilsida ser du vilka av våra produkter som du har tillgång till. Skulle uppgifterna inte stämma på din profilsida – vänligen kontakta vår kundtjänst.
Kvalitetsvård.se premium
Läs vidare – starta din prenumeration
Redan prenumerant? Logga in och läs vidare.
– 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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
