Review ArticlesUsing LEAN Principles to Improve Quality, Patient Safety, and Workflow in Histology and Anatomic PathologySerrano, Leo FACHE, CLSup (NCA); Hegge, Pamela MT(ASCP); Sato, Brendon MT(ASCP); Richmond, Barbara HT(ASCP); Stahnke, Lennis HT(ASCP) Author Information Department of Pathology and Laboratory Medicine, Avera McKennan Hospital and University Health Center, Sioux Falls, SD The authors received no funding support for this endeavor. Reprints: Leo Serrano, FACHE, CLSup (NCA), Department of Pathology and Laboratory Medicine, Avera McKennan Hospital and University Health Center, 800 E 21 Street, Sioux Falls, SD 57105 (e-mail: [email protected]). All figures can be viewed online in color at http://www.anatomicpathology.com. Advances in Anatomic Pathology: May 2010 - Volume 17 - Issue 3 - p 215-221 doi: 10.1097/PAP.0b013e3181d98c81 Buy Metrics Abstract Histology and anatomic pathology have historically been slow to accept many of the process changes that have been widely accepted in the clinical laboratory. In this article, we describe the application of the Toyota Production System (LEAN) to histology and anatomic pathology as implemented at the Avera McKennan Hospital laboratory. Avera McKennan is the flagship hospital of the Avera Health System, a faith based, not for profit healthcare system based in South Dakota. Comprised of 235 hospitals, clinics, and physicians, with over 12,000 employees, Avera Health is one of the largest healthcare systems in the region. Beginning in 2004, Avera McKennan's laboratory began its “LEAN journey” and in the intervening years has expanded it throughout all areas of the laboratory. Following the example set by the laboratory, many other areas of the hospital have joined in the LEAN Process Improvement journey. In January 2009, the Avera McKennan Laboratory became the first hospital laboratory in the US to achieve the CAP ISO-15189 accreditation in both clinical and anatomic pathology. © 2010 Lippincott Williams & Wilkins, Inc.