Abstract
Reducing the costs associated with health care services is on the agenda, if possible, improving their quality. The Lean management approach has proven to provide good results in creating value and reducing waste. This paper is based on an exploratory case study in the logistic operations of a Northern Portuguese hospital, focusing on the delivery plans of products needed between the central warehouse and the internal medicine ward. Using PDCA improvement cycles and other lean tools, this study analyzed the actual delivery system, identified inefficiencies, and proposed and evaluated some solutions. The aim was to address different types of waste, such as the time the ward head nurse spent to launch orders and perform the reception/arrangement of the products or the excess of products leaving the central warehouse. Although a daily delivery with a fixed stock level seems to be a good delivery system for a large group of products, the recorded or possible failures have led us to devise an optimization model to improve the deliveries. The preliminary results suggest that a weekly plan with a daily delivery of products (to be repeated every week) is even more optimal, not only because it relieves the head nurse of logistical tasks but also because it takes into account the units of products per package.
Although this model can be generalized to other nursing wards, some limitations are addressed, namely its non (daily) standardization, leading to some complexity in its handling by the logistic central warehouse operators.
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References
Agra, A., Cerveira, A., Requejo, C.: A branch-and-cut algorithm for a multi-item inventory distribution problem. In: Machine Learning, Optimization, and Big Data, pp. 144–158, August 2016. https://doi.org/10.1007/978-3-319-51469-7_12
Agra, A., Cerveira, A., Requejo, C.: Logistic operations in a hospital: a multi-item inventory distribution problem with heterogeneous fleet. In: Barbosa-Povoa, A.P., Jenzer, H., de Miranda, J.L. (eds.) Pharmaceutical Supply Chains - Medicines Shortages. LNL, pp. 215–227. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-15398-4_16
Bijvank, M., Vis, I.: Inventory control for point-of-use locations in hospitals. J. Oper. Res. Soc. 63, 497–510 (2012). https://doi.org/10.1057/jors.2011.52
Burdett, R., Kozan, E.: An integrated approach for scheduling health care activities in a hospital. Eur. J. Oper. Res. 264 (2017). https://doi.org/10.1016/j.ejor.2017.06.051
Deming, W.E.: Out of the crisis. Massachusetts Institute of Technology Center for Advanced Engineering Study (1986)
Graban, M., Toussaint, J.: Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement. Productivity Press, New York (2018)
Groene, O., Botje, D., Sunol, R., López, M., Wagner, C.: A systematic review of instruments that assess the implementation of hospital quality management systems. Int. J. Qual. Health Care J. Int. Soc. Qual. Health Care/ISQua 25 (2013). https://doi.org/10.1093/intqhc/mzt058
Hyndman, R., Athanasopoulos, G.: Forecasting: Principles and Practice, 2nd edn. OTexts, Melbourne (2018)
Best, M., Neuhauser, D.J.: Kaoru Ishikawa: from fishbones to world peace. Qual. Saf. Health Care 17(2), 150–152 (2008). https://doi.org/10.1136/qshc.2007.025692
Matt, D., Arcidiacono, G., Rauch, E.: Applying lean to healthcare delivery processes - a case-based research. Int. J. Adv. Sci. Eng. Inf. Technol. 8, 123 (2018). https://doi.org/10.18517/ijaseit.8.1.4965
Mitchell, A., Taylor, I., Baker, M.: Making Hospitals Work. Lean Enterprise Academy Limited, Goodrich (2009)
Moen, R., Norman, C.: Evolution of the PDCA cycle, January 2009
Rais, A., Viana, A.: Operations research in healthcare: a survey. Int. Trans. Oper. Res. 18 (2010). https://doi.org/10.1111/j.1475-3995.2010.00767.x
Sanders, R.: The pareto principle: its use and abuse. J. Serv. Mark. 1(2), 37–40 (1987)
Scoville, R., Little, K.: Comparing lean and quality improvement. IHI White Paper, pp. 1–30 (2014)
Volland, J., Fügener, A., Schoenfelder, J., Brunner, J.: Material logistics in hospitals: a literature review. Omega 69 (2016). https://doi.org/10.1016/j.omega.2016.08.004
Wilson, L.: How To Implement Lean Manufacturing. McGraw-Hill Education, New York (2010)
Womack, J., Jones, D., Roos, D.: The Machine That Changed the World: The Story of Lean Production, Toyota’s Secret Weapon in the Global Car Wars That Is Now Revolutionizing World Industry. Free Press, New York (1990)
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Rocha, J., Dominguez, C., Cerveira, A. (2022). Stock Management Improvement in a Nursing Ward Using Lean Approach and Mathematical Modelling. In: Pereira, A.I., Košir, A., Fernandes, F.P., Pacheco, M.F., Teixeira, J.P., Lopes, R.P. (eds) Optimization, Learning Algorithms and Applications. OL2A 2022. Communications in Computer and Information Science, vol 1754. Springer, Cham. https://doi.org/10.1007/978-3-031-23236-7_49
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