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.
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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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
