Wednesday, September 8, 2010

A Little Over-Processing Waste at the Pharmacy

A pharmacy has a software system that prints three items at once - a label for the bottle, a receipt for the customer, and a record slip for the files. The software system is robust and reliable.

As part of their work process, one pharmacist routinely checks the information on all three items to make sure it is the same. This is not to make sure that it is correct, this is to make sure that the three pieces are the same. This cursory check takes about 20 seconds and is done on the basis that "you can never be too careful."

Truth be told, you can be too careful, if you're being careful in a way that doesn't actually help anything. These printed pieces are never different; they will never be different; the inspection will never find a problem. The inspection is a hold-over from experiences with previous systems that weren't robust; with the current system, the inspection is not needed.

In Lean terminology, this extra effort, this double check, this inspection, is Waste, specifically Over-Processing waste. It is a step that takes time and effort, but doesn't add any value for the customer.

And these wastes, tiny as they seem, really add up. Consider that 20 seconds/prescription x 200 prescriptions/day x 250 days/year = 275 hours wasted each year. Eliminating this step from the process could free up 275 hours for a pharmacist every year! That's almost two months! Finding and eliminatng a few more small wastes could potentially free up the equivalent of a full-time pharmacist, without adding any new staff.

That's the excitement of Lean and the potential of continuous daily improvement.

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