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1.
Int J Health Plann Manage ; 39(5): 1642-1651, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38961610

RESUMEN

BACKGROUND: Medicines are the cornerstone of healthcare. Lean methodology approach such as Value Stream Mapping (VSM) is being used in healthcare to manage resources wisely to ensure sustainability of medicines and resources. The aim of this quality improvement study was to evaluate and improve the medication management and hospital imprest supply processes in Australia's first dedicated cardiology hospital using VSM. METHOD: We conducted a review of our medicine supply processes at a 180-bed cardiology hospital in Australia. We followed a lean methodology approach over a 4-month period from February to May 2023 and evaluated the outcome of our improvements for another 4 months from July to October 2023. We used VSM to identify non-value adding activities. Cost of medicines holding was calculated, as well as time taken to complete supply processes, pre and post. RESULTS: Pharmacy department stockholdings reduced by 51%; p = 0.000121 (from $539,662 to $275,406). Time taken to manage the inventory system also reduced by 42%; p = 0.025762 (from 148 h/month to 62 h/month). Lean methodology such as VSM can facilitate cost-effective and sustainable system improvements for pharmacy procurement systems.


Asunto(s)
Mejoramiento de la Calidad , Mejoramiento de la Calidad/organización & administración , Australia , Humanos , Gestión de la Calidad Total , Eficiencia Organizacional , Servicio de Farmacia en Hospital/organización & administración , Servicio de Farmacia en Hospital/normas , Inventarios de Hospitales/organización & administración , Sistemas de Medicación en Hospital/organización & administración , Instituciones Cardiológicas/normas , Instituciones Cardiológicas/organización & administración
2.
Pak J Pharm Sci ; 30(5(Special)): 1917-1922, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-29084667

RESUMEN

By analyzing the current hospital anti hepatitis drug use, dosage, indications and drug resistance, this article studied the drug inventory management and cost optimization. The author used drug utilization evaluation method, analyzed the amount and kind distribution of anti hepatitis drugs and made dynamic monitoring of inventory. At the same time, the author puts forward an effective scheme of drug classification management, uses the ABC classification method to classify the drugs according to the average daily dose of drugs, and implements the automatic replenishment plan. The design of pharmaceutical services supply chain includes drug procurement platform, warehouse management system and connect to the hospital system through data exchange. Through the statistical analysis of drug inventory, we put forward the countermeasures of drug logistics optimization. The results showed that drug replenishment plan can effectively improve drugs inventory efficiency.


Asunto(s)
Costos de los Medicamentos/estadística & datos numéricos , Utilización de Medicamentos/economía , Utilización de Medicamentos/estadística & datos numéricos , Hepatitis/tratamiento farmacológico , Hepatitis/economía , Inventarios de Hospitales/métodos , Inventarios de Hospitales/organización & administración , Humanos
3.
Voen Med Zh ; 336(12): 15-20, 2015 Dec.
Artículo en Ruso | MEDLINE | ID: mdl-30590880

RESUMEN

Development and use of modem hardware-software complex for medical equipment accounting in military unit of the medical service in wartime. The authors presented characteristics of a modern hardware-software complex for medical equipment assessment in medical troops of the medical service, included into the complete set of medical equipment <, which is accepted by the Armed Forces of the Russian Federation. An algorithm of development and routine of special- purpose software for accounting of medical equipment in medical branches of formations and military units in wartime.


Asunto(s)
Hospitales Militares/normas , Inventarios de Hospitales , Medicina Militar , Programas Informáticos , Contabilidad/métodos , Contabilidad/normas , Humanos , Inventarios de Hospitales/métodos , Inventarios de Hospitales/organización & administración , Inventarios de Hospitales/normas , Medicina Militar/instrumentación , Medicina Militar/organización & administración , Medicina Militar/normas
4.
Transfusion ; 54(10 Pt 2): 2730-5, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24527757

RESUMEN

BACKGROUND: The primary goals of apheresis platelet (AP) inventory management are to meet demand and minimize waste. AP inventory management is complicated by unpredictable demand for a product with a shelf life of only a few days and by hospital requests for APs that match the ABO types of patients identically. STUDY DESIGN AND METHODS: A simulation-based decision support system was developed to assist blood centers in reducing waste while meeting the demand for ABO-identical APs. The proposed model is validated using data from a blood center located in a major city in the southeast region of the United States. RESULTS: Based on data provided by the blood center, the proposed simulation model is able to suggest appropriate collection strategies that can reduce AP waste from 12%-14% to 6%-7% and decrease the unmet demand for ABO-identical APs from 25% to 21%. CONCLUSION: The proposed simulation-based decision-making model is able to mimic the complexity of the AP inventory management system while reducing waste and predicting the need for ABO-identical APs.


Asunto(s)
Bancos de Sangre/organización & administración , Eliminación de Componentes Sanguíneos/estadística & datos numéricos , Simulación por Computador , Necesidades y Demandas de Servicios de Salud , Inventarios de Hospitales/organización & administración , Transfusión de Plaquetas/estadística & datos numéricos , Eficiencia Organizacional , Humanos , Inventarios de Hospitales/normas , Evaluación de Procesos y Resultados en Atención de Salud/métodos , Plaquetoferesis/estadística & datos numéricos , Reproducibilidad de los Resultados , Programas Informáticos
5.
Am J Health Syst Pharm ; 81(12): 546-554, 2024 Jun 11.
Artículo en Inglés | MEDLINE | ID: mdl-38298005

RESUMEN

PURPOSE: This study aimed to compare the impact of an electronic health record (EHR)-integrated perpetual inventory management system (EIMS) versus a traditional inventory management system (TIMS) on inventory accuracy, visibility, and turnover in a large academic tertiary hospital. METHODS: The quasi-experimental study was conducted over 12 months (a 6-month preimplementation period and a 6-month postimplementation period, with an 11-month washout period) at Houston Methodist Hospital. The EIMS was implemented following the use of a TIMS. A total of 114 matched inventory items from both systems were identified and compared. The primary outcome was inventory accuracy, calculated as cycle count accuracy. The secondary outcomes were inventory visibility and monthly inventory turnover rate. RESULTS: Analysis demonstrated a 6.02% absolute increase in inventory accuracy (P < 0.001) with use of the EIMS versus the TIMS. After adjusting for inflation, there was an increase in the captured cost of goods sold from $4.16 million to $5.16 million. The monthly inventory value, adjusted for inflation in the prices of studied inventory items, increased from $2.05 million to $2.33 million. The monthly inventory turnover rate increased from 2.03 to 2.23 turns per month (P = 0.305) when comparing data for the pre- and postimplementation periods. Inventory visibility increased from 133 inventory items to 264 inventory items after EIMS implementation, indicating a 98% visibility increase compared to preimplementation levels. CONCLUSION: This study found that implementing an EIMS significantly increased pharmacy inventory accuracy and inventory visibility, which are essential for optimizing patient care and pharmacy financial management.


Asunto(s)
Registros Electrónicos de Salud , Servicio de Farmacia en Hospital , Centros de Atención Terciaria , Humanos , Servicio de Farmacia en Hospital/organización & administración , Inventarios de Hospitales/organización & administración
10.
Vox Sang ; 98(3 Pt 1): e295-363, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20432515

RESUMEN

A critical aspect of blood transfusion is the timely provision of high quality blood products. This task remains a significant challenge for many blood services and blood systems reflecting the difficulty of balancing the recruitment of sufficient donors, the optimal utilization of the donor's gift, the increasing safety related restrictions on blood donation, a growing menu of specialized blood products and an ever-growing imperative to increase the efficiency of blood product provision from a cost perspective. As our industry now faces questions about our standard practices including whether or not the age of blood has a negative impact on recipients, it is timely to take a look at our collective inventory management practices. This International Forum represents an effort to get a snap shot of inventory management practices around the world, and to understand the range of different products provided for patients. In addition to sharing current inventory management practices, this Forum is intended to foster an exchange of ideas around where we see our field moving with respect to various issues including specialty products, new technologies, and reducing recipient risk from blood transfusion products.


Asunto(s)
Bancos de Sangre/organización & administración , Inventarios de Hospitales/organización & administración , Adulto , Américas , Asia , Bancos de Sangre/estadística & datos numéricos , Conservación de la Sangre/métodos , Conservación de la Sangre/normas , Conservación de la Sangre/estadística & datos numéricos , Transfusión Sanguínea/normas , Transfusión Sanguínea/estadística & datos numéricos , Niño , Criopreservación , Envejecimiento Eritrocítico , Europa (Continente) , Humanos , Recién Nacido , Registros Médicos , Encuestas y Cuestionarios , Factores de Tiempo
11.
Transfus Med ; 20(2): 104-12, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20015060

RESUMEN

We developed a web-based program for a national surveillance system to determine baseline data regarding the supply and demand of blood products at sentinel hospitals in South Korea. Sentinel hospitals were invited to participate in a 1-month pilot-test. The data for receipts and exports of blood from each hospital information system were converted into comma-separated value files according to a specific conversion rule. The daily data from the sites could be transferred to the web-based program server using a semi-automated submission procedure: pressing a key allowed the program to automatically compute the blood inventory level as well as other indices including the minimal inventory ratio (MIR), ideal inventory ratio (IIR), supply index (SI) and utilisation index (UI). The national surveillance system was referred to as the Korean Blood Inventory Monitoring System (KBIMS) and the web-based program for KBIMS was referred to as the Blood Inventory Monitoring System (BMS). A total of 30 256 red blood cell (RBC) units were submitted as receipt data, however, only 83% of the receipt data were submitted to the BMS server as export data (25 093 RBC units). Median values were 2.67 for MIR, 1.08 for IIR, 1.00 for SI, 0.88 for UI and 5.33 for the ideal inventory day. The BMS program was easy to use and is expected to provide a useful tool for monitoring hospital inventory levels. This information will provide baseline data regarding the supply and demand of blood products in South Korea.


Asunto(s)
Bancos de Sangre/estadística & datos numéricos , Transfusión Sanguínea/estadística & datos numéricos , Hospitales/estadística & datos numéricos , Inventarios de Hospitales/organización & administración , Vigilancia de Guardia , Recolección de Datos , Humanos , Internet , Inventarios de Hospitales/estadística & datos numéricos , Evaluación de Necesidades , Proyectos Piloto , Evaluación de Programas y Proyectos de Salud , República de Corea
12.
Mater Manag Health Care ; 19(4): 30-3, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20464855

RESUMEN

Today, supply chain metrics should be more strategic rather than transactional in nature. They should provide a for greater understanding of the relationship between supply chain manage ment, clinical outcomes and patient safety. In addition to taking a comprehensive look at inventory value, materials managers should assess strategies to reduce theft and consider third-party logistics managers where appropriate. This article provides direction for best practices in inventory management and suggests supply chain metrics that can be employed to improve performance.


Asunto(s)
Ahorro de Costo/economía , Inventarios de Hospitales/normas , Guías como Asunto , Inventarios de Hospitales/economía , Inventarios de Hospitales/organización & administración , Estados Unidos
14.
J Am Med Inform Assoc ; 27(6): 884-892, 2020 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-32337588

RESUMEN

OBJECTIVE: Timely availability of intravenous infusion pumps is critical for high-quality care delivery. Pumps are shared among hospital units, often without central management of their distribution. This study seeks to characterize unit-to-unit pump sharing and its impact on shortages, and to evaluate a system-control tool that balances inventory across all care areas, enabling increased availability of pumps. MATERIALS AND METHODS: A retrospective study of 3832 pumps moving in a network of 5292 radiofrequency and infrared sensors from January to November 2017 at The Johns Hopkins Hospital in Baltimore, Maryland. We used network analysis to determine whether pump inventory in one unit was associated with inventory fluctuations in others. We used a quasi-experimental design and segmented regressions to evaluate the effect of the system-control tool on enabling safe inventory levels in all care areas. RESULTS: We found 93 care areas connected through 67,111 pump transactions and 4 discernible clusters of pump sharing. Up to 17% (95% confidence interval, 7%-27%) of a unit's pump inventory was explained by the inventory of other units within its cluster. The network analysis supported design and deployment of a hospital-wide inventory balancing system, which resulted in a 44% (95% confidence interval, 36%-53%) increase in the number of care areas above safe inventory levels. CONCLUSIONS: Network phenomena are essential inputs to hospital equipment fleet management. Consequently, benefits of improved inventory management in strategic unit(s) are capable of spreading safer inventory levels throughout the hospital.


Asunto(s)
Bombas de Infusión/provisión & distribución , Inventarios de Hospitales/organización & administración , Ocupación de Camas , Equipos y Suministros de Hospitales , Unidades Hospitalarias , Humanos , Modelos Logísticos , Estudios Retrospectivos
15.
Am J Health Syst Pharm ; 77(5): 371-377, 2020 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-31754716

RESUMEN

PURPOSE: This case study describes the development and empirical validation of an easy-to-implement practical framework for improving hospital pharmacy inventory management. SUMMARY: Research suggests various inventory optimization models, which can lead to cost reductions while maintaining adequate service levels; however, they are facing limited adoption in healthcare settings. The main barriers appear to be the high effort and complexity of implementation, the dependence on data that are not available or might not be in the right form, and the one-size-fits-all approach often followed without addressing healthcare sector-specific particularities. A research framework was developed by adapting relevant inventory models to the healthcare context using the concept of data segmentation on the basis of a three-dimensional classification of hospital pharmacy inventory items based on their relative importance, clinical criticality, and consumption pattern. Suitable replenishment policies were assigned to high-impact classes, and an integrated performance-measurement component assesses the framework's effectiveness. The suggested approach was implemented and empirically tested at the pharmacy of a large public hospital using longitudinal data. The results demonstrate substantial improvements with respect to all of the selected key performance indicators and translate into inventory cost savings due to reduced stockholding costs and better synchronization of inventories to demand. CONCLUSION: Use of standard software functionalities combined with targeted data segmentation efforts significantly improves hospital pharmacy inventory cost performance.


Asunto(s)
Inventarios de Hospitales/organización & administración , Administración de Materiales de Hospital/organización & administración , Servicio de Farmacia en Hospital/organización & administración , Ahorro de Costo , Humanos , Inventarios de Hospitales/economía , Administración de Materiales de Hospital/economía , Política Organizacional , Servicio de Farmacia en Hospital/economía , Programas Informáticos
16.
Medicine (Baltimore) ; 99(29): e21208, 2020 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-32702888

RESUMEN

Blood supply managers in the blood supply chain have always sought to create enough reserves to increase access to different blood products and reduce the mortality rate resulting from expired blood. Managers' adequate and timely response to their customers is considered vital due to blood perishability, uncertainty of blood demand, and the direct relationship between the availability/lack of blood supply and human life. Further to this, hospitals' awareness of the optimal amount of requests from suppliers is vital to reducing blood return and blood loss, since the loss of blood products surely leads to high expenses. This paper aims to design an optimal management model of blood transfusion network by a synthesis of reusable simulation technique (applicable to all bases) and deep neural network (the latest neural network technique) with multiple recursive layers in the blood supply chain so that the costs of blood waste, return, and shortage can be reduced. The model was implemented on and developed for the blood transfusion network of Khorasan Razavi, which has 6 main bases active from October 2015 to October 2017. In order to validate the data, the data results of the variables examined with the real data were compared with those of the simulation, and the insignificant difference between them was investigated by t test. The solution of the model facilitated a better prediction of the amount of hospital demand, the optimal amount of safety reserves in the bases, the optimal number of hospital orders, and the optimal amount of hospital delivery. This prediction helps significantly reduce the return of blood units to bases, increase availability of inventories, and reduce costs.


Asunto(s)
Bancos de Sangre/estadística & datos numéricos , Transfusión Sanguínea/estadística & datos numéricos , Simulación por Computador , Inventarios de Hospitales/organización & administración , Modelos Estadísticos , Redes Neurales de la Computación , Bancos de Sangre/economía , Transfusión Sanguínea/economía , Humanos , Irán
17.
J Med Econ ; 23(10): 1205-1208, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32715825

RESUMEN

Irrational use of drugs occurs at all levels of healthcare. This phenomenon can also be observed in hospitals. Irrational use of a drug contributes to a decrease in the patient's quality of treatment and often causes negative health consequences. For this reason, it is essential to consider methods that can be introduced in hospitals to increase the safety and effectiveness of the drugs used. The article presents selected methods of rationalization of drug management that can be used in hospitals.


Asunto(s)
Utilización de Medicamentos , Servicio de Farmacia en Hospital/organización & administración , Programas de Optimización del Uso de los Antimicrobianos/organización & administración , Economía Farmacéutica , Formularios de Hospitales como Asunto/normas , Humanos , Prescripción Inadecuada/prevención & control , Inventarios de Hospitales/organización & administración , Servicio de Farmacia en Hospital/economía , Comité Farmacéutico y Terapéutico/organización & administración , Guías de Práctica Clínica como Asunto
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