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Improving the Logistics Operations of the Hospital Pharmacy Using a Barcode-Rfid Identification System

  • Alejandro Romero
Conference paper

Abstract

Medicine represents a critical component of healthcare but impacts negatively the quality of healthcare systems because it faces serious issues such as medical errors, adverse impacts on the environment and the growing presence of counterfeit products. Despite medicines specifications and inefficiencies could contribute to their increasing cost in the healthcare sector, very little research has been published on the main issues affecting the management of medicines and how technology systems could collaborate to improve their management. Within the scope of this paper, we will concentrate on analyzing the main inefficiencies of logistics processes executed by the hospital pharmacy and identifying how an RFID-barcode identification system could improve pharmacy operations. Based on process mapping and qualitative data obtained from semi-structured interviews, this paper describes six main inefficiencies namely incorrect inventory management, medicine shrinkage, intensive manual labor, long procurement cycles, time-consuming product recalls and improper use of technology. By identifying cases and bundles with RFID technologies and primary and secondary packages with barcode labels, hospital pharmacy could ensure that medicines don’t affect severely the sustainability of healthcare system in general and the patient security in particular.

Keywords

Barcode Logistics process Pharmacy hospital Process mapping RFID technology Supply chain management 

References

  1. 1.
    OECD, Manuel d’Oslo: principes directeurs pour le recueil et l’interprétation des données sur l’innovation. Les éditions de l’OCDE, 3e édition (2005)Google Scholar
  2. 2.
    OECD, OECD Health Data 2011, Health Expenditure and Financing, 2011, http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT
  3. 3.
    ICIS, Tendances de dépenses nationales en santé, 1985–2011, Institut Canadien d’information sur la santé, Ottawa (Ont.) (2012)Google Scholar
  4. 4.
    M. Potdar, E. Chang,V. Potdar, Applications of RFID in pharmaceutical industry, Presented at IEEE International Conference on Industrial Technology, pp. 2860–2865, (2009)Google Scholar
  5. 5.
    Y. Meiller, S. Bureau, Logistics Projects: How to assess the right system? The case of RFID solution in healthcare, in Proceedings Americas Conference on Information Systems (AMCIS). California, p. 14 (2009)Google Scholar
  6. 6.
    F. Boulet, Les erreurs médicamenteuses ou l’épée de Damoclés. Pharmactuel 34(6), 161–165 (2001)Google Scholar
  7. 7.
    R. Shaeffer, Closing the medication safety loop. Comput. Healthc. 30(3), 30–32 (2009)Google Scholar
  8. 8.
    D. Dumitru, The Pharmacy Informatics Primer, Bethesda, Maryland: American Society of Health-System Pharmacists, p. 251, (2009)Google Scholar
  9. 9.
    E. Schneller, L. Smeltzer, L. Burns, Strategic Management of the Health Care Supply Chain (Jossey-Bass, San Francisco, Calif, 2006)Google Scholar
  10. 10.
    Ontario Buys & Healthcare Supply Network, Supply Chain Modernization in Ontario Health Care, Improving Patient Care, Enhancing Service Levels and Reducing Costs: A Report on the E-Supply Chain Project. Ontario Ministry of Finance, Toronto, report, 2007Google Scholar
  11. 11.
    J. Langabeer, Health Care Operations Management: A Quantitative Approach to Business and Logistics (Jones and Bartlett Publishers, Sudbury, 2007)Google Scholar
  12. 12.
    N.H. Mustaffa, A. Potter, Healthcare supply chain management in Malaysia: a case study. Supply Chain Manag. Int. J. 14(3), 234–243 (2009)CrossRefGoogle Scholar
  13. 13.
    F.J. Beier, The management of the supply chain for the hospital pharmacies: a focus on inventory management practices. J. Bus. Logistics 16(2), 153–173 (1995)Google Scholar
  14. 14.
    G.J. Kuperman, A. Bobb, T.H. Payne, Medication- related clinical decision support in computerized provider order entry systems: a review. J. Am. Med. Inf. Assoc. 14(1), 29–40 (2007)CrossRefGoogle Scholar
  15. 15.
    L. Kohn, J. Corrigan, M. Donaldson, To err is human: building a safer health system (National Academy Pr., 2000)Google Scholar
  16. 16.
    H. Rivard-Royer, S. Landry, M. Beaulieu, Hybrid Stockless: a case study, lessons for Health-care supply chain integration. Int. J. Oper. Prod. Manag. 22(4), 412–424 (2002)CrossRefGoogle Scholar
  17. 17.
    P.S. Landry, R. Philippe, 4U2C or How Logistics can Service Healthcare (Ecole des Hautes Commerciales, Montreal, Quebec, 2002)Google Scholar
  18. 18.
    M. Brooks, K. Button, Market Structures and Shipping Security. Marit. Econ. # 38; Logistics, 8, 00–120 (2006)Google Scholar
  19. 19.
    S. Palaniswami, L. Jenicke, P. Okonkwo, H. Kang, Risk assessment and security measures in supply chain networks. Int. J. Procurement Manag. 3(1), 1–11 (2010)CrossRefGoogle Scholar
  20. 20.
    R. Srinivasan, Supply chain immunity: a methodology for risk management. Int. J. Serv. Sci. 3(1), 1–20 (2010)MATHGoogle Scholar
  21. 21.
    C.A. Pedersen, P.J. Schneider, D.J. Scheckelhoff, ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008. Am. J. Health-Syst. Pharm. 66(10), 926–946 (2009)CrossRefGoogle Scholar
  22. 22.
    J. Scott-Cawiezell, R.W. Madsen, G.A. Pepper, A. Vogelsmeier, G. Petroski, D. Zellmer, Medication safety teams guided implementation of electronic medication administration records in five nursing home. Jt. Comm. J. Qual. Patient Saf. 35(1), 29–35 (2009)Google Scholar
  23. 23.
    K. Danas, P. Ketikidis, A. Roudsari, A virtual hospital pharmacy inventory: an approach to support unexpected demand. J. Med. Mark. Device Diagn. Pharmacetical Mark. 2(2), 125–128 (2002)CrossRefGoogle Scholar
  24. 24.
    D.S. West, Purchasing and inventory control, ed. by R. Jackson. Effective Pharmacy Management, 9th edn. (National Community of Pharmacists Association, Sec. 17, Alexandria, VA, 2003)Google Scholar
  25. 25.
    L. Breen, H. Crawford, Improving the pharmaceutical supply chain: Assessing the reality of e-quality through e-commerce application in hospital pharmacy. Int. J. Qual. Reliab. Manag. 22(6), 572–590 (2004)CrossRefGoogle Scholar
  26. 26.
    K. Dongsoo, An integrated supply chain management system: a case study in healthcare sector, in proceedings of the E-commerce and Web Technologies: Sixth International Conference, (Copenhagen, Denmark, 2005)Google Scholar
  27. 27.
    D.S. West, NCPA=Pharmacia Digest (National Community of Pharmacists Association, Alexandria, VA, 2002)Google Scholar
  28. 28.
    M.D. Rosseti, D. Marek, S. Prabhu, A. Bhonsle, S. Sharp, Y. Liu, Inventory management issues in health care supply chains, Center of innovation in healthcare logistics, (2008). http://cihl.uark.edu/Inventory_Management_Issues_in_Health_Care_Final.pdf
  29. 29.
    H. Dreyer, J. Strandhagen, A. Romsdal, A. Hoff, principles for real-time, integrated supply chain control: an example from distribution of pharmaceuticals. Adv. Prod. Manag. Syst. Challenges, Approaches, 1, 187–194 (2010)Google Scholar
  30. 30.
    A.R. Vila-Parrish, J.S. Ivy, R.E. King, A simulation-based approach for inventory modeling of perishable pharmaceuticals. Simulation Conference, 2008. WSC 2008. Winter, pp. 1532—1538 (2008)Google Scholar
  31. 31.
    E. Schuster, S. Allen, D. Brock, Global RFID: The Value of the EPCglobal Network For Supply Chain Management. (Springer, Berlin, 2007)Google Scholar
  32. 32.
    N. Basta, Product Security Perspective: Protecting the Brand, Pharmaceutical Commerce. Pharmaceutical Commerce website, (2008). http://www.pharmaceuticalcommerce.com/frontEnd/991-serialization_anticounterfeitin_pedigree_RFID_taggants_barcode.html
  33. 33.
    E. Lefebvre, A. Romero, L.-A. Lefebvre, C. Krissi, Technological strategies to deal with counterfeit medicines: the European and North-American perspectives, Int. J. Edu. Inf. Technol. 5(3), 275–284 (2011)Google Scholar
  34. 34.
    S. Landry, R. Philippe, How logistics can service healthcare. Supply Chain Forum 5(2), 24 (2004)Google Scholar
  35. 35.
    C. Chandra, The case for healthcare supply chain management: insights from problem-solving approaches. Int. J. Procurement Manag. 1(3), 261–279 (2008)CrossRefGoogle Scholar
  36. 36.
    J.F. Bussières, D. Lebel, Utilisation des code-barres dans le cadre du circuit du médicament en établissement de santé. Pharmactuel 42(2), 131–137 (2004)Google Scholar
  37. 37.
    E. Jones, M. Henry, D. Cochran, T. Frailey, RFID pharmaceutical tracking: from manufacturer through in vivo drug delivery, J. Med. Devices 4, 015001-1-015001-7 (2010)Google Scholar
  38. 38.
    A. Romero, Managing medicines in the hospital pharmacy: logistics inefficiencies,in Lecture Notes in Engineering and Computer Science: Proceedings of The World Congress on Engineering and Computer Science 2013, WCECS 2013, San Francisco, USA, pp. 1120–1125 2325 Oct 2013Google Scholar
  39. 39.
    C.-C. Chao, Y. Jiann-Min, J. Wen-Yuan, Determining technology trends and forecasts of RFID by a historical review and bibliometric analysis from 1991 to 2005. Technovation 27(5), 268–279 (2007)Google Scholar
  40. 40.
    A. Romero, E. Lefebvre, L.-A.Lefebvre, Breaking the Barcode and RFID myth: Adoption paths for improving the medication process. WSEAS J. Comput. Commun. 4(5), 223–235 (2011)Google Scholar
  41. 41.
    A. Romero, E. Lefebvre, Combining barcode and RFID into a hybrid solution for improving the hospital pharmacy logistics processes, Int. J. Inf. Technol. Manag. Forthcoming (2014)Google Scholar
  42. 42.
    R.K. Yin, Case study Research: Design and Methods, Newbury Park (Sage Publications, CA, 2003)Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  1. 1.Université du Québec à Trois-RivièresTrois-RivièresCanada

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