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BACKGROUND: Proper implementation of the logistics management information system (LMIS) would facilitate access to essential pharmaceutical products. It also prevents wastage at health posts. The aim of this study was to assess the implementation of the LMIS and the availability of tracer drugs at health posts in rural Ethiopia. METHODS: We employed a cross-sectional descriptive design with a mixed-method approach. The data used for this paper was collected from March to May 2019 as part of the National HEP assessment. The study involved 343 health posts randomly selected from nine regions of Ethiopia. Women's Development Army members and household heads participated in the qualitative study (i.e. in FGD and KII). The quantitative data were exported from Open Data Kit (ODK) to Stata 15.1 for statistical analysis, and the qualitative data were entered into NVivo 12 and analyzed using thematic content analysis. RESULTS: Of the health posts, 59.4% had a space for storing drugs; less than half (41.9%; 95% confidence interval (CI) [36%, 48%]) had a functioning refrigerator. The mean percentage of the availability of selected tracer drugs at health posts was 59.6%, with a 95% CI (58.9%, 60.3%). Bin cards were available at 43% (95% CI [40%, 46%]) of health posts, and among these, only 27.5% of the health posts adequately used the bin cards. CONCLUSION: The absence and poor use of LMIS tools was observed at health posts. Proper implementation of the LMIS has the potential to improve the availability of essential drugs that, in turn, improve health post level delivery of health services.
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Humans , Pharmaceutical Preparations , Health Services Accessibility , Health Centers , Drugs for Primary Health CareABSTRACT
On the basis of present hospital logistics management at home, the authors analyzed lean logistics management in hospitals and its practice in engineering works from the perspective of Changgung-featured management system, in terms of standard operating procedure, refined equipment maintenance, and routine skills training. It is held that refined logistics management can guarantee smooth operation and operating cost control for hospitals, which offers references for refined logistics management of hospitals in the country.
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By promoting the socialization of hospital logistics professional skill services, the logistics support ability and safety production supervision level can be improved. By using the theory and method of system dynamics, the income decision model of public-private-partnership projects in the energy station of Nankai hospital is established. Then, the qualitative factors in the decision-making model are transformed into calculable quantitative factors by using the mathematical method of fuzzy logic, and the reasonable charging interval negotiated between Nankai Hospital and the project company is given. According to the income range and in consideration of the balance of interests of all stakeholders, the concession period and the concession price are adjusted to provide decision-making and analysis reference for energy station construction projects.
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By promoting the socialization of hospital logistics professional skill services,the logistics support ability and safety production supervision level can be improved.By using the theory and method of system dynamics,the income decision model of public-private-partnership projects in the energy station of Nankai hospital is established.Then,the qualitative factors in the decision-making model are transformed into calculable quantitative factors by using the mathematical method of fuzzy logic,and the reasonable charging interval negotiated between Nankai Hospital and the project company is given.According to the income range and in consideration of the balance of interests of all stakeholders,the concession period and the concession price are adjusted to provide decision-making and analysis reference for energy station construction projects.
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Objective: To analyze the situation of inventory and consumption of non-implantable medical device of urinary surgery of teaching hospital so as to provide theoretical basis for improving logistics management of non-implantable medical device and effectively implementing decision of cost control.Methods: The inventory and usage situation of non-implantable medical devices of urinary surgery of teaching hospital during 2011 year and 2016 year were collected,and the Pareto rule was applied.And then these non-implantable medical devices of urinary surgery were divided into three categories(A,B and C)according to consumption sum of annual mean.Results: As the calculation results of consumption sum of annual mean,the non-implantable medical devices included 8 kinds of medical devices that were infusion device(49.808％),20mL syringe(10.912％),electrode(7.663％),medical gloves(5.634％),5mL syringe(2.293％),2mL syringe(2.209％),3M adhesive plaster(1.474％)and expander(1.435％),respectively.And the ratios of medical devices of A,B and C in the total amount of consumption of annual mean were 81.43％,9.88％and 8.69％,respectively.And their ratio in non-implantable medical device were 8.64％,9.75％and 81.48％,respectively.Conclusion: Logistics management involves many links,and if the ratio of one kind of medical device in the total amount of mean consumption is 80％while the ratio of type of goods is under 20％,we should strengthen the management for it.
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Objective: To design a management system of medical consumables that has concise interface in good taste, simple operation, rational construction and well usability so as to achieve informatization and delicacy management for medical consumables. Methods: Through utilized computer networking technology(CNT), and adopted a special architectural pattern of browser and servicer(B/S), and depended on the process of purchase, application and usage, to design and establish a logistics management system of hospital, and to construct a scientific and reasonable management platform for logistics informationization. Result: The application of the logistics management system has solved many problems happened in formerly medical consumables management, such as confusion of qualification management, cumbersome signing approval, the problems of "running, emitting, dripping and leaking" that existed in part of materials and others. Conclusion: The design and application of logistics management system have established a networking approval process which can extremely enhance working efficiency and provide a digital platform for achieving a new model of informatization and delicacy management of medical consumables.
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This paper, based on the development and practice of hospital intelligent transport platform, discussed the practice and exploration of the digital transport mode of " pay for order" . With the help of information technology, internet of things, and " internet plus" concept, the intelligent platform can further motivate the staff, and encourage optimization of the hospital logistic management. Logistic transportation workers can gain more pay by more work via such a platform, thus forming a hospital logistic management key performance indicator evaluation system, and further the development of hospital fine management and smart development.
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In the perspective of "Internet plus", the paper discussed the practice of hospital logistics management , by means of internet technology and thinking , its powerful informationization and socialization.Thus we can effectively integrate hospital logistics resources , make the logistics work fast and efficient, and realize the leapfrog development of hospital logistics management .Such a hospital logistics management can improve the level and quality of logistics service , elevate logistics service satisfaction , and reduce the logistics cost .By making full use of big data , the"Internet plus"provides the basis for decision making for the continuous improvement of logistics .On the risk management level ,"Internet plus"can also achieve real-time connectivity and integrated efficiency , which is more suitable for hospital emergency management and crisis management .
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OBJECTIVE:To study the effects of the collaboration application of hospital information system (HIS) andsmart chaininventory automation management system(SPD)in drug distribution enterprises on drug logistics management,and achieve the centralized distribution of drugs. METHODS:Related countermeasures in achieving the informatization and scientiza-tion of drug inventory management after the collaboration application of HIS and SPD were introduced,and effectiveness analysis was conducted for the inventory management by comparing related indicators before and after collaboration application. RESULTS:Through the establishment ofunified receiving platformsystem and barcode technology that combined with HIS and SPD,drug barcode acceptance was achieved;setting drug fixed package and scanning fixed cards in outer packing in theunified receiving platformsystem can achieve automatic out-and into-storehouse and generating purchase plan;the collaboration application of HIS and SPD achieved drug concentration distribution. Compared with before,monthly inventory amount was decreased 27.07%(P<0.05)in the condition that both drug purchases and sales amount were increased,into-warehouse time of pharmacy acceptance was decreased from 6-12 s in each drug to 10-15 s in each order,pharmacy staff dropped from 2.5 to 2 persons. CONCLUSIONS:The collaboration application of HIS and SPD in drug logistics management has improved efficiency of warehouse,reduced drug inven-tory and achieved the informatization and scientization of drug inventory management.
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Objective:To understand the status of medical supplies management and explore the application of RFID technology in medical supplies management.Methods: The implementation of inventory management summarizes some of the experiences from medical supplies, medical supplies in the future direction and management to provide some basis for the implementation of standardized medical supplies, systematic and comprehensive management.Results: Reduce health care costs and improve the level of medical supplies management and accelerate the flow of funds has important significance for the sustainable development of the hospital.Conclusion:The role played by medical supplies and health care practice in the status is irreplaceable, RFID technology as an advanced automatic identification and data capture technologies in the medical field in the future become a hospital for medical goods logistics management indispensable component.
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The history, type of hospital pneumatic tube system, emphasis on pneumatic tube system, rail-type, AGV automatic guided vehicle system, elevated monorail wheelbarrow system are introduced and prospects its application and development.
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The definition and main structure of rail-type logistics transmission system are described and put forward the main advantages of the system that is used to carry the relatively heavy and large goods. The main function, working principle and technical characteristics of each part of logistics transmission system are introduced, which emphasizes the keys of the application and maintenance of the system should focus on intensive training, standardized operation, regular inspection and strengthened maintenance, and then further introduce the emphasis of the inspection and maintenance.
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The objective is to discuss related problems of medical equipment management to modern hospital.Research Contents:the necessity of strengthening management to medical equipment in medical establishment;the goal of purchase management in medical equipment;assets of medical equipment and stream management;monitoring and management in adverse event monitoring of medical apparatus;medical instrument abandonment management.By strengthening integrated management of medical instrument,the purposes can be attained imply scientific decision,reasonable purchase,effective management,supply guarantee,containment of adverse event monitoring,safeguard of medical service security and quality of medical treatment.