Abstract
The four aspects of analysis of the situation of resource management are undertaken, using the example of sterile goods management in hospital, i.e. system-oriented analysis, cause-oriented analysis, future-oriented analysis, and solution-oriented analysis.
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Appendices
Appendix 1: The 6-Layer Model
The 6-layer model links patient treatment to resource allocation (Friesdorf et al. 2011, p. 417). It is developed to improve patient treatment by planning and managing treatment processes and controlling resources (Fuchs 2013, p. 139). The model differentiates six layers of patient treatment, and each layer contains two sides: the left side represents the treatment processes, and the right side the provision of resources. Both sides are linked by bridges by which Bridge Managers (BrMs) coordinate and control the resource allocation to the needs of patient treatment processes (Hoge et al. 2012, p. 149).
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Layer 1: Cases: Classification by case groups considering the overall treatment of an individual patient (for example DRGs in Germany etc.).
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Layer 2: Stages: Sequences of treatments by different sectors (general practitioner, ambulance, hospital, rehabilitation). The linearity of the treatment process is resolved by the decision models—such as outpatient or inpatient care.
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Layer 3: Stations: Components of the treatment in different organizational units within one structure, e.g. in hospital: emergency room, operating room, intensive care unit.
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Layer 4: Phases: Sub-tasks within a station—the sequence of treatments of the patient in a particular “Station”
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Layer 5: Modules: Structuring a treatment “Phase” into diagnosis and patient-specific bundles of individual medical interventions, such as cardiovascular treatment of heart failure
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Layer 6: Arrangements: All individual medical measures, such as administration of an analog sedation, blood pressure measurement (Fuchs 2013, pp. 71, 143; Friesdorf et al. 2011, p. 420). The 6-layer model is shown in Fig. 4.6.
Fig. 4.6 
The 6-layer model
Appendix 2: The Layout of CSSD
See Fig. 4.7.
The layout of CSSD
Appendix 3: The General Flow of Sterile Goods Between Operating Theatre and Central Sterile Supply Department
Sterile goods are always stocked. They are not stocked individually, but grouped in nets. One net includes all the items needed for a particular surgery. However, in general, the net more commonly applies to several types of surgery, and one type of surgery requires nets of a distinct type. Before an operation, the required nets are taken from the sterile storage CSSD, and will be taken to the appropriate OR. During the operation, the sterile items, whether they are used or not, will become contaminated. After surgery, all items will be brought to the contaminated storage facility of the OT, from where they will be taken to the goods reception of CSSD. There they are pre-cleaned, and then put into the washing machines. After washing, the materials are reassembled and regrouped to form nets. The nets are put into the autoclaves where the sterilization takes place. After sterilization, the nets are placed in the sterile storage of CSSD. From there they are brought to the sterile storage of OT. This completes the closed loop (Van de Klundert et al. 2008, p. 24; Lin et al. 2008, p. 558). Figure 4.8 provides the general flow of the instruments between OT and CSSD.
The general flow of instruments between OT and CSSD
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Lin, Q. (2017). Situation of Resource Management. In: Analysis of Resource Management in Complex Work Systems. Springer, Singapore. https://doi.org/10.1007/978-981-10-2170-1_4
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