Hospital logistics

from Wikipedia, the free encyclopedia

The hospital logistics is a sector-specific sub-area of logistics , which with the logistical processes and transport streams in hospitals busy. As with logistics, planning and organization , transport and storage as well as the provision of goods, information and people are considered. The basic goals of logistics ( the 6 Rs of logistics ) also apply to hospital logistics , whereby additional influencing factors such as hospital hygiene, occupational safety and fire protection requirements must be taken into account.

Logistics flows in the hospital

A hospital is made up of various medical sub-areas such as the functional departments, the wards , the operating theater and the central emergency department (ZNA). Together with the numerous flows of information, people and goods, the sub-areas form the logistical infrastructure . These are supplemented by delivery areas such as the kitchen , warehouse or pharmacy . Hospital logistics are also characterized by the control and coordination of these logistical flows.

The logistical flows in the hospital can be broken down as follows:

  • Flows of people: patients, staff and visitors
  • Flow of goods and materials: sterile goods , storage and pharmacy items, food and beverages, medical devices, laboratory samples , beds and waste
  • Information flow: electronic, written (physical) or oral exchange of relevant data in a system
Logistic flows and requirements in hospitals (Source: Fraunhofer Institute for Material Flow and Logistics IML, Dortmund)

The flow of people in the hospital includes all people who are directly or indirectly involved in the logistic flows. Hospital logistics is characterized by a high fluctuation of people who are permanently (staff), temporarily ( patients ) or short-term (visitors) in the hospital. The medical and personal needs of patients create complex and constantly changing requirements for the hospital in terms of operating theater and ward capacities, transport, food supply, waste disposal or cleaning according to hygienic standards. Patients must also be brought to their treatments and procedures in good time. The patient transport can be controlled via a transport control station. He plans and coordinates all transports in the hospital so that patients and goods arrive at their destination at the right time.

Hospital logistics also describes the material flows within the hospital and towards the hospital. Examples of this are delivery areas such as pharmacies (pharmaceutical logistics) or food delivery (food supply). In addition to this, the material flows that leave the hospital are also relevant in the context of hospital logistics, as is the case with the disposal of hospital waste.

Various aids are used to transport the above-mentioned goods within a hospital. Inside the hospital, materials and pharmaceuticals can be brought to their destinations by the hospital staff (e.g. service staff, pick-up and delivery service, service providers, supply assistants) on foot using transport trolleys. Many hospitals use machine support, which is commonly known in hospitals as automatic goods transport ( AWT ). This includes a variety of different technologies, such as B. pneumatic tube systems , power & free systems, electric monorail systems (EHB) or driverless transport systems (AGV).

Subject areas of hospital logistics and new logistical challenges for hospitals

  • Hospital construction and logistics
  • Business organization planning in the hospital
  • OR logistics
  • Case-based material recording and documentation
  • Logistical challenges in implementing the implant passport
  • Green Hospital - sustainable hospital logistics
  • Sterile goods logistics and central sterilization logistics
  • Pharmaceutical logistics and unit doses
  • Software selection and implementation in the hospital
  • Efficient layout planning for hospital rooms and areas
  • Logistics planning and control in the hospital
  • Planning of logistics centers
  • Logistics planning for the central emergency room
  • Material supply / module supply
  • Inventory optimization for warehouse and pharmacy items
  • Logistics concept for staff changing rooms
  • Hygiene concepts for septic patients
  • Logistics concept for elevator use and capacity planning
  • Personnel deployment concepts and resource planning

literature

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