Implementation of Full-Empty System Management: A Paediatric Intensive Care Unit Experience

Abstract

Introduction : The objective of this study was to describe and to evaluate a Simplification, Improvement and Modernization project (SAM) of logistics processes in a pediatric intensive care unit. SAM includes a full-empty system for the supply chain management (drugs, medical devices, solutes and hygiene equipment). It required spatial reorganization of the unit and the implementation of a pharmacy performance.

Materials and methods : In late 2008, after an analysis, endowment was managed by full-empty system with Radio Frequency Identification using Scan Modul System Data software.

Results : The immobilized stock decreased of 69 % (94,816 Euros in amount), and 18 % in number of references stored in the unit. The weekly time gain of the nurses (88.5 hours) in 2008 was reinvested in 0.8 full-time equivalent of childcare assistant. Additional weekly time for the pharmacy and the logistic units was respectively 9.5 and 5 hours without job creation. In both surveys, the system was well accepted by actors. The general feeling was the improvement of quality of care and patient monitoring.

Conclusion : This study has shown the interest in a computerized full-empty system for the supply chain management. This project required a working time reallocation in particular for the logistical tasks (additional tasks transferred to the pharmacy). It improved quality of care and patient monitoring and strengthened communication between actors.