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DTSTAMP:20240325T185835Z
LOCATION:Salon C
DTSTART;TZID=America/Chicago:20240325T164500
DTEND;TZID=America/Chicago:20240325T181500
UID:HFESHCS_2024 International Symposium on Human Factors and Ergonomics i
 n Health Care_sess111_POST256@linklings.com
SUMMARY:PS14 - The impact of streamlining of logistic processes in Polish 
 hospitals on improving patient safety in the area of ​​pharmacotherapy
DESCRIPTION:Poster Presentation\n\nAnna Gawronska (Lukasiewicz Research Ne
 twork - Poznan Institute of Technology)\n\nDespite many years of activitie
 s taken up for the sake of medical services quality, numerous problems and
  limitations can be observed within intrahospital logistics processes sign
 ificantly influencing the quality of patient care, patient safety, and pro
 cess efficiency. In many countries around the world, research has been car
 ried out regarding patient care in hospitals. In countries such as USA, UK
  or New Zealand [HDMA 2006, p. 3; The National Academies Press 2006, p. 10
 5; Department of Health 2007, p. 5; Jones 2009, p. 1; Metzger et al. 2010 
 p. 4; GS1 2010, p. 15] the research in the field of management of medicina
 l products flow in the context of patient care showed that patient safety 
 – inside and outside a hospital – is very often endangered. Additionally, 
 it has been proved that pharmacotherapy is the most error-burdened therapy
  [Marczewska 2010]. The consequences of such a situation can be observed b
 oth with respect to decreasing patient safety as well as on the financial 
 ground.\nReasons for the lack of effectiveness and efficiency in the field
  of management of logistics in hospitals include difficulties and challeng
 es in the area of providing quick and automated access to real-time reliab
 le data in order to reduce response time to patient needs and guarantee a 
 high level of safety that constitute the research problem:\n- difficulties
  with patient service and medicinal products flow, resulting from ineffect
 ive and inefficient identification and data exchange methods,\n- inappropr
 iate organization of work and inadequate management methods, resulting fro
 m a large number of manual and duplicated activities, which influences lab
 or time and patient response time,\n- lack of adjusting of current activit
 ies to coming legal changes, influencing intrahospital logistics,\n- insuf
 ficient readiness of hospitals to implement solutions regarding the eHealt
 h area.\nOn the basis of conducted observations, it is justified to formul
 ate the following research problem, consisting in the lack of a reference 
 model using global GS1 identification and communication standards that gua
 rantee an adequate patient safety level as well as effectiveness and effic
 iency of medicinal products flow, in the context of both current and futur
 e legal regulations. \n	The above-defined research problem includes a set 
 of detailed problems, reflecting the real needs of a hospital.  These need
 s can be expressed in the following theses:\n- there is a need to adopt a 
 solution eliminates disadvantages of existing methods and tools devoted to
  process organization, such as manual and duplicating activities, low leve
 l of automation of processes, lack of the GS1 standards, lack of mechanism
 s enabling product traceability required by law,\n- there is a need to reb
 uild logistics processes in hospitals for the sake of patient safety and e
 fficiency of patient service,\n- there is a need to integrate activities r
 elated to law compliance and streamlining of logistics process processes,\
 n- there is a need to formulate assumptions of a reference model compliant
  with the EU strategy, promoting standards interoperability for the sake o
 f eHealth solutions.\nOn the basis of the literature overview, long-term e
 ngagement in the hospital industry as well as active participation in the 
 creation and development of healthcare standards, the following research h
 ypotheses have been formulated: \n(H1)	Real-time management of the medicin
 al products flow with the use of ADC techniques and mobile solutions leads
  to streamlining of this process with respect to assessing engagement and 
 reduction of patient needs response time.\n(H2)	Adequate application of th
 e international GS1 standards \nin the field of management of the process 
 regarding medicinal products flow results in increased patient safety. \nI
 n order to solve the presented research problem, particular fact-finding m
 ethods have been used, understood as a set of theoretically justified conc
 eptual and instrumental measures, including the whole research approach wh
 ich is expected to lead to the solution of a research problem [Kamiński 20
 06, p.  274].\nResearch aimed at simulating the effects of reference model
  implementation was conducted in three hospitals in the Wielkopolska Provi
 nce, each of them representing a different type of entity: district hospit
 al, government hospital, and prison hospital. Patient care process and ide
 ntification of bottlenecks in non-medical processes regarding medicinal pr
 oduct distribution. A top-down approach used in the research allowed us to
  focus on the whole patient process from a bird’s eye view in order to ide
 ntify possible optimization potential on the ground of logistics in each h
 ospital.\nThe following processes were analyzed:\na)	placement of an order
  with a supplier, understood as a sequence of activities from the moment w
 hen information about the demand for particular medicinal products appears
  in the IT system until the moment the supplier confirms the readiness to 
 realize the demand,\nb)	receipt of delivery, understood as a sequence of a
 ctivities from the moment medicinal products are physically delivered unti
 l the moment medicinal product information data is updated in the pharmacy
  IT system,\nc)	ward order picking, understood as a sequence of activities
  from the moment when information about the demand for particular medicina
 l products on a ward appears in the IT system until the moment these produ
 cts are dispensed to the ward and medicinal products level is updated in t
 he IT system,\nd)	patient order picking and medicinal product dispensation
 , understood as a sequence of activities from the moment patient order app
 ears in the IT system until the moment a confirmation of medicinal product
  dispensation is registered in this system. \nResearch logic and sequence 
 of activities have been included in the following steps:\na)	development o
 f reference model assumptions,\nb)	process analysis of current processes i
 n hospitals,\nc)	verification of possibilities of implementing the referen
 ce model and consequences of recommended changes within chosen measures, p
 ossible to estimate by means of the iGrafx software.\nProcess analysis and
  mapping have been conducted by means of the BPMN standard. It is a standa
 rd developed by the Object Management Group, and its main objective is to 
 provide a method of business process description, understood for both peop
 le monitoring processes in various entities and for programmers responsibl
 e for technical implementation [Drejewicz 2012, p. 9].\nAs a result of the
  simulation of streamlining logistics processes, the possibility of reduci
 ng service time, labor time, and asset engagement have been confirmed. Add
 itionally, possibilities of quality change thanks to better visibility of 
 the internal medicinal products supply chain and better patient service th
 rough access to data regarding inventory level, type, and location have be
 en proved. Therefore, hypothesis (H1), saying that real-time management of
  the medicinal products flow with the use of ADC techniques and mobile sol
 utions leads to streamlining of this process with respect to assessing eng
 agement and reduction of patient needs response time, can be considered to
  be true. \nAnalysis of trends in the field of development of various solu
 tions based on the GS1 standards, both existing and future ones, shows tha
 t including these standards will contribute to better patient safety and n
 urses' work comfort through the introduction of a mechanism enabling verif
 ication of patient order picking as well as more efficient medicinal produ
 cts traceability and identification of location of medicinal products. In 
 summary, on the basis of the conducted analysis hypothesis (H2), claiming 
 that adequate application of the international GS1 standards in the field 
 of management of the process regarding medicinal products flow results in 
 increased patient safety, can be considered to be true.\n\nTrack: Digital 
 Health, Simulation and Education, Hospital Environments, Medical and Drug 
 Delivery Devices, Patient Safety Research and Initiatives
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