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Availability of good quality stock, in right quantity, at right place and time and at right cost is the essence of inventory control, which in turn is mandatory for smooth functioning and service delivery of any health care facility. Various techniques are available for inventory control, based on cost, criticality and other factors for e.g., ABC analysis, VED analysis, ABC-VED matrix, FSN analysis, SDE analysis etc. Each technique has its own strength and weakness in its applicability. Economic considerations are also imperative for logistic management of any health facility, as any cost savings could be spent more gainfully in some other way and thus more lives could be saved, reduced morbidities and overall positive impact. Future healthcare managers will have to utilize scientific methods of inventory management and the role of an efficient hospital logistics system cannot be ignored anymore. Inventory control is an important component of hospital management. It provides significant improvement in patient care, customer relationships and optimal use of resources. The objective of this paper is to present an up-to-date review of inventory control and critically appraise its various techniques, various costs associated with it and methods of indenting stock. This review will benefit post-graduate students and public health workers in understanding the concepts and principle of inventory control and applying the same in their practice.
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Background:Assessment of availability of essential medicines is a critical component of universal health coverage and important factor to address patients’ satisfaction and increase their health seeking behavior. Proper inventory management of essential drugs in the health facilities is critical in ensuring availability of essential drugs. The objectives of the study were to assess availability of essential medicines and inventory control practice in university of Gondar comprehensive specialized hospital.Methods:The study was conducted using institution based cross sectional study design from March 10 to April 10, 2019. The data was collected by data abstraction formats and structured observation checklist and data was analyzed by Microsoftoffice excel for the assessment of the essential medicine’s availability and inventory control practices in Gondar university comprehensive specialized hospital.Results:The overall average availability of essential medicines during survey period in Gondar university hospital was 79.17%. The average stock out in the last six months period was 41.67%. The mean duration of stock out of essential medicines of the hospital in the last six months period was 31.7 days and average frequency of stock out was 0.7. The discrepancy between physical count and stock record count of essential medicines ranged from 0% to about 95%.Conclusions:The average availability of essential medicines during data collection period was fairly high. However, the facility was stock out for significant percent of essential medicines over the last six monthsperiod and stock out to lesser extent of percent at the time of survey period
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Resumo Introdução: As empresas dos canais de distribuição têm como principal função intermediar transações entre os fornecedores e revendas. Além disso, elas servem como agentes entre as revendas e os usuários finais comissionando à revenda. Este artigo foi desenvolvido em uma distribuidora nacional de automação, com 20 anos neste mercado que apresenta problemas no estoque como: rupturas e excessos, buscando ações para minimizar estes principais problemas. Objetivo: O objetivo da pesquisa foi analisar e contextualizar estas variáveis, podendo assim identificar sugestões de ações de melhorias de como evitar problemas em gestão de estoques. Materiais e métodos: A metodologia utilizada foi a análise qualitativa, tendo como método de pesquisa o estudo de caso único. Foi aplicado um questionário estruturado e avaliadas as informações do banco de dados da empresa. Foi elaborado um fluxograma do setor de compras e estoque para mapear o funcionamento do setor. Resultados: Os resultados da pesquisa evidenciaram a empresa acredita que tem um controle de estoque adequado, mas identificou a necessidade de melhorias, devido às frequentes rupturas no estoque, assim como os excessos de itens com baixo giro de vendas. Conclusões: Foram determinados ferramentas e indicadores de gestão de estoques para controlar os problemas de distribuição logística.
Resumen Introducción: Las empresas de los canales de distribución tienen como principal función intermediar transacciones entre los proveedores y reventas. Además, ellos sirven como agentes entre los revendedores y los usuarios finales comisionando a la reventa. Este artículo fue desarrollado en una distribuidora nacional de automatización, con 20 años en este mercado y que presenta problemas en el stock como rupturas y excesos, buscando acciones para minimizar estés problemas principales. Objetivo: El objetivo de la investigación fue analizar y contextualizar estas variables, pudiendo así identificar sugerencias de acciones de mejoras de cómo evitar problemas en la gestión de inventarios. Materiales y métodos: La metodología utilizada fue el análisis cualitativo, teniendo como método de investigación el estudio de caso. Se aplicó un cuestionario estructurado y evaluado la información de la base de datos de la empresa. Se elaboró un diagrama de flujo del sector de compras y stock para mapear el funcionamiento del sector. Resultados: Los resultados de la investigación evidenciaron que la empresa cree que tiene un control de inventario adecuado, pero identificó la necesidad de mejoras, debido a las frecuentes rupturas en el stock, así como los excesos de ítems con bajo giro de ventas. Conclusiones: Se han determinado herramientas e indicadores de gestión de stocks para controlar los problemas de distribución logística.
Abstract Introduction. Companies of distribution channels are mainly responsible broker transactions between suppliers and resellers. Additionally, they serve as agents between resellers and end-users commissioning resale. This article was developed in a national distributor of automation, with 20 years in this market that presents problems in stock as ruptures and excesses, actions seeking to minimize these core problems. Objective. The objective of the research was to analyze and contextualize these variables and thus identify suggestions for actions to improve how to avoid problems in inventory management. Materials and methods. The methodology was qualitative analysis, and as a research method, the single case study was analyzed. A structured questionnaire and evaluated information from the database of the company was applied. A flowchart of the purchasing and storage area was designed to map the functioning of the sector. Results. The results showed the company believes it has adequate inventory control, but identified the need for improvements due to frequent disruptions in stock, as well as the excess items with low sales turnover. Conclusions. Tools and inventory management indicators were determined to control the distribution logistics problems.
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Background: An efficient inventory control system would help optimize the use of resources and eventually help improve patient care. Objectives: The study aimed to find out the surgical consumables using always, better, and control (ABC) and vital, essential, and desirable (VED) technique as well as calculating the lead time of specific category A and vital surgical consumables. Methods: This was a descriptive, record-based study conducted from January to March 2016 in the surgical stores of the All India Institute of Medical Sciences, New Delhi. The study comprised all the surgical consumables which were procured during the financial year 2014–2015. Stores ledger containing details of the consumption of the items, supply orders, and procurement files of the items were studied for performing ABC analysis and calculating the lead time. A list of surgical consumables was distributed to the doctors, nursing staff, technical staff, and hospital stores personnel to categorize them into VED categories after explaining them the basis for the classification. Results: ABC analysis revealed that 35 items (14%), 52 items (21%), and 171 items (69%) were categorized into A (70% annual consumption value [ACV]), B (20% ACV), and C (10% ACV) category, respectively. In the current study, vital items comprised the majority of the items, i.e., 73% of the total items and essential (E) category of items comprised 26% of all the items. The average internal, external, and total lead time was 17 days (range 3–30 days), 25 days (range 5–38) and 44 days (range 18–98 days), respectively. Conclusions: Hospitals stores need to implement inventory management techniques to reduce the number of stock-outs and internal lead time.
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Objective: A study was conducted to analyse the applicability of the tools of inventory control of drugs, and the awareness of hospital pharmacists on the inventory tools in the central pharmacy of a tertiary care hospital. Methods: Always Better Control (ABC) and High Moderate Low (HML) analysis were carried out for 4057 drugs purchased in the central pharmacy during the financial year of 2017-2018. The drugs were classified as A, B and C category based on their annual usage value and as Category High (H), Moderate (M) and low (L) drugs based on their unit price respectively. The knowledge of the 80 hospital pharmacists on the tools of inventory control was assessed using a structured questionnaire. Results: Based on ABC analysis, of 4057 drugs, 330 drugs were classified under “A” category accounting to 8.13% of the total number of drugs purchased which was 70.91 % of total annual consumption in money value. The category “B” consisted of 667 drugs accounting to 16.44% of the total number of drugs which was 20.01% of total annual money consumption. Category “C” had 3060 drugs which accounted to 75.42% of the total number of drugs purchased which reflected on 9.01% of annual money consumption. Based on HML analysis, 440 drugs (10%) had a unit price above Rs. 500 and were classified under ‘H’ category. The drugs with unit price between Rs.500 and Rs.100 were grouped as ‘M’ items. There were 695 drugs (17.13%) in ‘M’ category. The ‘L’ category consisted of 2922 drugs (72.02%) with their unit price below Rs.100. Of 80 pharmacists, 84 % had good overall knowledge on the inventory control tools and 59 participants were willing to acquire additional training on inventory control techniques. Conclusion: The study explained the need for the application of ABC and HML analysis, and the involvement of hospital pharmacists in the regular implementation of inventory analysis towards effective management of Pharmacy stores in a hospital setting.
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OBJECTIVE:To work out the optimal inventory levels in zero inventory management mode through model predic-tion and control strategy,by using the inventory upper & lower limits settings generally available in the information management system of health care institutions. METHODS:Multi-varieties joint ordering modelwas constructed by referring to operations management,time series analysis and quantitative approach to decision-making,that is,to make a prediction of upper&lower lim-its on medicine inventory based on historical data and applicable mathematical models(fixed order interval model and re-order mod-el,i.e. FOI and ROP),and compared with real results;based on above,specific medicine procurement and inventory control strat-egies would be developed and an evaluation of the application effects would be made. RESULTS:The error test and reproducibility test exhibited that the out-of-stock ratio remained under 3.36%,of which 71.24% could be effectively alarmed;under computer simulation and practical operation,the instant replenishment rate reduced by 9.33% and 13.03%,OOS ratio down by 11.11% and 27.45%,and average daily inventory turnover rate up by 30.19% and 15.85% respectively,all showing remarkable improvements compared to before the implementation of the mode. CONCLUSIONS:This model is of favorable accuracy and operability,there-fore it can lay foundation for rational and well-founded decisions in medicine procurement and inventory control in zero inventory management mode.
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Objective:To study the medicine storage management mode in our hospital. Methods: The medicine sales and inventory data were obtained from 2010 to 2013 by the HIS of our hospital. Medicine storage turnover ratio was calculated by using Microsoft Excel. The efficiency in the inventory management was evaluated by medicine storage turnover ratio. The storage control in our hospital was analyzed by the relevant references. Results: The medicine storage turnover ratio from 2010 to 2013 in our hospital was improved to 20. 06 times, the turnover days was reduced to 18 days which met the criteria for the review of the grade A class 3 hospital. Conclusion: The medicine storage management should be scientifically adjusted on the basis of the clinical characteristics and the use of medicines in the hospital. In this way, the improvement of medicine storage turnover ratio, the optimized control of the medicine stocks and the improvement of the social and economic benefit of the hospital will be realized.
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Os avanços alcançados nos 25 anos de criação do Sistema Único de Saúde representam motivos para a afirmação de uma politica de estado cujos princípios se articulam em torno da produção da qualidade dos serviços ofertados. No entanto, a complexidade envolvendo o processo de controle e distribuição de materiais e insumos para a realização das ações de saúde aponta para a necessidade de estabelecimento de estratégias de gestão logísticas em saúde. Desse modo, apresenta-se, neste projeto de intervenção, a proposta de implantação de um Programa de Controle de Estoque de Mercadorias no distrito sanitário II da Secretaria de Saúde da Prefeitura da Cidade do Recife, a ser executada em três etapas com objetivos, estratégias, metas e resultados esperados. Ao fim da implantação do programa em tela, espera-se contribuir para o racionamento no processo de controle e distribuição de materiais e insumo para as unidades de saúde no território do distrito sanitário II com efeitos favoráveis a qualidade dos usuários do SUS nos seus locais de vida e trabalho.
The advances achieved in the 25 years since the creation of the Unified Health System represent grounds for the assertion of a state whos e political principles are articulated around the production quality of services offered...
Subject(s)
Local Health Systems , Organization and Administration , Materials and Supplies Stockpiling , Organizations , Unified Health SystemABSTRACT
[<b>summery</b>]<br> Our hospital appointed a pharmacist to be safety control manager of drugs. With the aim of promoting an appropriate use of drugs, the safety control manager of drugs ensures the appropriate storage, the expiration, and the use record with control drugs following the business procedure every month. These requirements were confirmed at all divisions of hospital, and then the nonconformity was recorded following the procedure.<br> The largest number of nonconformity were entry on drugs unseal date and an exceeded the cutoff point of inventory. We couldn’t gain sufficient improvement about an appropriate use of drugs. The causes of this nonconformity were dispersion of drugs at each division and insufficient inventory control of drugs. We attempted to gather and to keep drugs into one group. As a result, the number of nonconformity greatly decreased at all divisions. The amount of money of stock in hospital was decreased by about 20%.<br> These results suggested that the confirmation of requirements with business procedure by the safety control manager’s rounds of hospital was extremely helpful method with an appropriate use of drugs.
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An initial forecast model of BP neural networks is established, and is trained using the history data of our hospital inventory. This model is applied to forecasting the demand of medical equipment in Daping Hospital. The result indicates that the inventory cost is reduced enormously. The model is useful in the purchase and inventory management of medical equipment.