Hospital Warehouse Management during the construction of a new building through Lean Techniques

Abstract

This paper shows a method applied during the reconstruction of an existing middle size Italian hospital. In fact, during this delicate phase, the project had a significant decrease in storage space and access gates for goods, medicines and medical devices. This aspect has a negative impact on road traffic. There was no consensus among the management on how to deal with this problem. In addition, a great tension between engineers and warehouse managers made it impossible to find a solution. For the best of our knowledge there is no available literature on this topic. Hence, a deep analysis had been carried out according to the Business Process Reengineering (BPR). For this reason, a hospital lean group has been created and a statistically study on storage volume inside the warehouse and a monitoring of trucks and goods arrival has been implemented. Three different solutions had been identified through data collection, design of experiments and lean application. The first one was focused on an exclusively internal management, the second one on an exclusively external management whereas the last one was focused on a partially internal scenario. Advantages, disadvantages, costs and the impact on the road traffic has been highlighted for each scenario. Afterward the Management had all the elements to make the best decision. The method reported in this study could be extended during the construction or reconstruction of any company that needs a warehouse or to face a problem in a tense atmosphere.

Una revisión del impacto de la adopción de la metodología Lean Construction en los proyectos de construcción

“…Muchos investigadores han demostrado que términos monetarios y no monetarios para los participantes del proyecto. Patrone et al [47] revelaron que LC tiene efectos positivos en la sostenibilidad de la construcción. El uso de LC económicos y ambientales al reducir los desechos, los peligros para la seguridad y el prolongado período de construcción.…”

Healthcare warehouse: Integrated literature review

“…[9] dalam penelitiannya menunjukkan perbandingan kecepatan antara sistem manual dan sistem otomasi yang sangat besar untuk warehouse di bidang obat-obatan. Selain itu, beberapa temuan terkait hospital warehouse juga telah dilakukan oleh [10] dan [11]. Pada era internet seperti saat ini, perubahan dari data warehouse fisik menjadi bentuk cloud dilakukan guna meningkatkan pelayanan bagi pasien, terutama jika pasien harus berpindah fasilitas kesehatan.…”

“…Pada penelitian ini, terdapat beberapa temuan terkait hospital warehouse. Pertama, penelitian terkait manajemen warehouse rumah sakit ketika rumah sakit melakukan renovasi atau pembangunan baru pertama kali dilakukan oleh [10]. Penelitian tersebut dilakukan dengan harapan proses renovasi tidak mengganggu arus logistik, terutama warehouse di rumah sakit yang dapat menghambat pelayanan.…”

Lean and resilience in the healthcare supply chain – a scoping review

“…References: 1 – Papalexi et al (2016); 2 – Almutairi et al (2019a); 3 – Haeri et al (2020); 4 – Haghighi and Torabi (2018); 5 – Divsalar et al (2020); 6 – Dixit et al (2019); 7 – Tolf et al (2015); 8 – Regattieri et al (2018); 9 – Farrokhi et al (2013); 10 – Piggott et al (2011); 11 – Almutairi et al (2019b); 12 – Narayanamurthy et al (2018); 13 – Feibert et al (2019); 14 – Achour et al (2011); 15 – Tay et al (2017); 16 – De Vries and Huijsman (2011); 17 – Dobrzykowski and McFadden (2020); 18 – Dobrzykowski et al (2016); 19 – Shah et al (2008); 20 – Alshahrani et al (2018); 21 – Patrone et al (2020); 22 - Nunes-Vaz et al (2019); 23 – Guven-Uslu et al (2014); 24 – Nabelsi and Gagnon (2017); 25 – Ramori et al (2021); 26 – Borges et al (2020); 27 – Khorasani et al (2020); 28 – Volland et al (2017); 29 – Adebanjo et al (2016); 30 – Lim et al (2017); 31 – Kekkonen et al (2018); 32 – Sabouhi et al (2018); 33 – Liu et al (2016); 34 – Duong et al (2019); 35 – Singh et al (2016); 36 – Guimarães and de Carvalho (2013); 37 – Rahimnia and Moghadasian (2010); 38 – De Lima et al (2018); 39 – Roberts et al (2017); 40 - Guimarães et al (2013); 41 – Friday et al (2021); 42 – Hundal et al (2021); 43 – Suresh et al (2020); 44 – Pandey and Litoriya (2020)…”