Just-in-time approach in healthcare inventory management: Does it really work?

Balkhi, Bandar; Al-Shahrani, Abdullah M; Khan, Anas

doi:10.1016/j.jsps.2022.10.013

Cited by 27 publications

(24 citation statements)

References 34 publications

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“…The COVID-19 pandemic disrupted supplies of many health care products, exposing vulnerabilities in current supply chain methods, characterized by the reliance on a single ICM supplier and inventory management practices focused on the delivery of products when they are needed. 5,16,20,32,[57][58][59][60] A position paper from the US Pharmacopeia stressed the need for a more "resilient" supply chain. 61 Similarly, a 2022 Emergency Care Research Institute (ECRI) White Paper, Lessons of COVID-19: Three Actions for a More Resilient Supply Chain, noted that: "The pandemic fueled a 'perfect storm': a crisis of international scale with multiple product lines affected and high demand for those products, all supported by a supply chain designed around lean inventory models…."…”

Section: Supply Chain Weaknesses Identified Supply Chain Weaknessesmentioning

confidence: 99%

“…With just-in-time inventory practices, minimal supplies are stocked and supplies are reordered as needed, helping to ensure minimal waste and reducing storage requirements. 59 Justin-time inventory management systems have been widely adopted in health care settings; however, they are known to work best under normal conditions. 59 For example, just-in-time inventory management relies on rapid, frequent transport and delivery of supplies -and the transportation sector likewise experienced pandemic-related disruptions.…”

Section: Supply Chain Weaknesses Identified Supply Chain Weaknessesmentioning

confidence: 99%

“…59 Justin-time inventory management systems have been widely adopted in health care settings; however, they are known to work best under normal conditions. 59 For example, just-in-time inventory management relies on rapid, frequent transport and delivery of supplies -and the transportation sector likewise experienced pandemic-related disruptions. 59 Thus, just-in-time inventory can result in a limited ability to manage a surge in demand, product shortages, and worker absenteeism.…”

Section: Supply Chain Weaknesses Identified Supply Chain Weaknessesmentioning

confidence: 99%

“…59 For example, just-in-time inventory management relies on rapid, frequent transport and delivery of supplies -and the transportation sector likewise experienced pandemic-related disruptions. 59 Thus, just-in-time inventory can result in a limited ability to manage a surge in demand, product shortages, and worker absenteeism. 63 Addressing vulnerabilities in the supply chain requires stockpiling of critical medical supplies to ensure they are available in times of shortages.…”

Section: Supply Chain Weaknesses Identified Supply Chain Weaknessesmentioning

confidence: 99%

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Optimizing the Use of Iodinated Contrast Media for CT: Managing Shortages and Planning for a Sustainable and Secure Supply

CADTH¹

2023

cjht

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Shortages of iodinated contrast media (ICM) due to pandemic-related lockdowns and transportation disruptions have exposed vulnerabilities in supply chains for essential medical supplies. Radiology associations, government agencies, and clinicians have suggested various strategies to address ICM shortages and strengthen supply chains. A systems approach to managing ICM shortages could help ensure the involvement of health care providers from all relevant clinical specialties, administration and purchasing, as well as government and industry. Clear communication is key to managing a critical shortage of ICM. Use of contrast-enhanced CT has increased and the ICM shortages may provide an opportunity to assess optimal use of ICM and reduce unnecessary exams. ICM use carries environmental consequences that have not yet been fully managed. Strategies to reduce the use of ICM may also help mitigate the environmental impact.

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Section: Supply Chain Weaknesses Identified Supply Chain Weaknessesmentioning

confidence: 99%

Section: Supply Chain Weaknesses Identified Supply Chain Weaknessesmentioning

confidence: 99%

Section: Supply Chain Weaknesses Identified Supply Chain Weaknessesmentioning

confidence: 99%

Section: Supply Chain Weaknesses Identified Supply Chain Weaknessesmentioning

confidence: 99%

See 2 more Smart Citations

Optimizing the Use of Iodinated Contrast Media for CT: Managing Shortages and Planning for a Sustainable and Secure Supply

CADTH¹

2023

cjht

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“…17,18 While this is financially ideal during normal operations, during disasters it can be problematic. 19 It is important that healthcare facilities have adequate tracking of their supplies, so that bottleneck losses can be predicted during a crisis.…”

Section: Suppliesmentioning

confidence: 99%

Preparing your emergency department for disaster: Optimizing surge capacity during mass casualty events

Armstrong

2023

Healthc Manage Forum

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Mass casualty events can cause patient surges within healthcare facilities. These surges can be limited to hours or continue for days or weeks. As emergency departments are the front doors to the healthcare system, it is critical that they are prepared to accept patient surges. Focusing plans on optimizing space, staff, and supplies is critical to a successful response. Boarded or non-emergent patients must be diverted, discharged, and decanted from the emergency department to expand resuscitation space. If inadequate, non-clinical space may be required for patient care. Staff call-in lists should be maintained, and in-house berthing for staff during prolonged responses may be necessary. Further, identifying the spectrum of care, from conventional to crisis, is necessary to thrive during a disaster response: staff must understand that business as usual will not be compatible with austere disaster response before levels of care begin to decline.

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Enteral nutrition: An underappreciated source of patient safety events

Citty,

Chew,

Hiller

et al. 2024

Nut in Clin Prac

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Enteral nutrition (EN) therapies are prescribed for patients not able to maintain adequate nutrition through the oral route. Medical errors and close calls associated with the provision of EN therapy leading to actual and potential patient harm have been reported. The purpose of this study was to determine the number, type, and severity of safety events related to the provision of EN therapies reported to a national database and provide workable recommendations from the literature to improve safety. An interdisciplinary team queried the National Center for Patient Safety (NCPS) Joint Patient Safety Reporting (JPSR) system using keywords related to EN therapy use. The team reviewed the number, type, and severity of reported events and safety codes as categorized by the NCPS and then thematically classified the narratives using the Medication Use Process (MUP). Our query revealed 1227 safety events related to the EN keywords. Thematic analysis of the top five event subtypes (n = 1030) revealed that there were 691 EN safety reports directly related to an MUP step, and the majority fell into the steps of administering (31%), followed by monitoring (28%), dispensing (26%), prescribing (11%), and transcription (4%), with many events involving more than one MUP step. Safety events associated with the provision of EN therapies leading to patient harm have been reported to the JPSR system. To improve safety related to EN use, modifications to prescribing, transcribing/documenting, dispensing, administering, and monitoring of prescribed EN therapies are needed.

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Just-in-time approach in healthcare inventory management: Does it really work?

Cited by 27 publications

References 34 publications

Optimizing the Use of Iodinated Contrast Media for CT: Managing Shortages and Planning for a Sustainable and Secure Supply

Optimizing the Use of Iodinated Contrast Media for CT: Managing Shortages and Planning for a Sustainable and Secure Supply

Preparing your emergency department for disaster: Optimizing surge capacity during mass casualty events

Enteral nutrition: An underappreciated source of patient safety events

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