Lessons from a Surgical Center Satellite Warehouse in a Large Brazilian Public Hospital
Abstract
:1. Introduction
2. Materials and Methods
3. Empirical Study
3.1. Hospital Profile
3.2. Systematic Operation of the Satellite Warehouse
3.3. Gaps of the Satellite Warehouse Operation
4. Improvement Proposals
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Step | Approach | Objective | Source | Aim |
---|---|---|---|---|
Diagnosis | Analytical | To select a hospital and identify possible improvements in its logistics processes. | Hospital documentations (reports, processes’ maps, and procedures and manuals) | To define the hospital structure and obtain information for this case study |
Semi-structured Interview: (i) Strategic level: hospital director and head nurse of the surgical center; (ii) Tactical level: supply area coordinator and head of the warehouse; (iii) Operational level: warehouse managers and administrative technicians | To understand the hospital and warehouse through employees’ perspective as well as to collect detailed information on difficulties, and opportunities for improvement perceived by these employees. | |||
On-site observation | To perceive and observe the actions of those involved in the warehouse processes and practical procedures. | |||
Analysis | Theoretical and Analytical | To evaluation the theoretical and analytical data to prepare the case study. | Diagnosis | To search for literature-oriented solutions, establishing essential criteria so that the suggested improvements can be implemented in the hospital’s warehouse. |
Proposition | Theoretical and Analytical | Preparing the case study and propose improvements in the processes. | Analysis | To increase the efficiency of the logistics processes of the hospital and reduce waste. |
Problems | Improvements | Benefits |
---|---|---|
1. Material shortage for elective surgeries | (a) OPSM material must be requested in 48-h advance; (b) Surgery scheduling only after checking material availability; (c) Employment of a singular information system to improve material management. | Better organization of surgery, avoiding rescheduling and cancellations due to material shortage. |
2. Material ordering process | (a) Definition of logistic parameters such as safety stock and reorder point considering lead time; (b) Weekly requests for basic materials. | Improve storage space, reduce waste, as well as improve control of received items. |
3. Complexities in bidding processes and material delivery | (a) Maintenance of a good supplier-client relationship and establishment of pre-established contracts; | Streamline processes and improve delivery. |
4. Assembling of basic material kits per clinic | (a) Basic and OPSM kits prepared per patient; (b) Basic kits and a pre-assembly of specific kits for all emergency clinics. | Allow material traceability and streamline internal surgical center processes |
5. Absence of periodic meetings | (a) Monthly meetings between those responsible for the warehouse sector and the surgical center. (b) Biweekly meetings of the warehouse manager with his team, with the use of feedback and Brainstorming practices. | Align processes and adjust incongruences between sectors; Map the problems and explore the creativity of the group. |
6. Surgical center rounds occur only once a week | (a) Daily rounds in all clinics. | Avoid information delay and facilitate the control material distribution. |
7. Lack of training | (a) Offer training courses at the hospital’s study center and state public education institutions. | Develop team skills technical, operational, and management. |
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Reis, A.d.C.; Oliveira, R.P.; Ferreira, L.A.F.; Gomes de Souza, C. Lessons from a Surgical Center Satellite Warehouse in a Large Brazilian Public Hospital. Healthcare 2021, 9, 297. https://doi.org/10.3390/healthcare9030297
Reis AdC, Oliveira RP, Ferreira LAF, Gomes de Souza C. Lessons from a Surgical Center Satellite Warehouse in a Large Brazilian Public Hospital. Healthcare. 2021; 9(3):297. https://doi.org/10.3390/healthcare9030297
Chicago/Turabian StyleReis, Augusto da Cunha, Renata Pereira Oliveira, Letícia Ali Figueiredo Ferreira, and Cristina Gomes de Souza. 2021. "Lessons from a Surgical Center Satellite Warehouse in a Large Brazilian Public Hospital" Healthcare 9, no. 3: 297. https://doi.org/10.3390/healthcare9030297