The Traceability of Materials in a Brazilian Public Hospital

Abstract

RESUMONo Brasil todos os cidadãos têm livre acesso à saúde pública. Atualmente, o número de pessoas que utilizam este serviço apresentou um crescimento extraordinário devido à crise econômica ocorrida no país, que culminou na incapacidade dos mesmos em manter o seguro saúde. No Rio de Janeiro existe uma preocupação constante com a qualidade dos serviços oferecidos à população. Desta forma, foi elaborado um estudo de caso em um hospital federal, localizado no Rio de Janeiro, com o objetivo de apresentar os problemas enfrentados pelo hospital relacionados à rastreabilidade e gestão de materiais em depósito. Acredita-se que qualquer economia resultante das melhorias na gestão de armazéns deve proporcionar um ganho aos serviços oferecidos à população. Dessa maneira, o objetivo desse estudo é propor melhorias ao processo de rastreabilidade dos materiais dentro do almoxarifado de um hospital público através do estudo dos processos de compra e armazenagem. Como resultado, foi elaborado uma proposta a ser implementada pelo hospital, contendo ajustes em suas rotinas, a 1 Recepção: 23/06/2018 Aprovação: 10/09/2018. Publicação: 20/12/2018. fim de mitigar os problemas enfrentados por eles que impactam na redução de custos e na melhoria dos serviços. ABSTRACTIn Brazil all citizens have free access to public health. Currently the number of people using public health services presented an extraordinary growth due to Brazilian economic crisis, which resulted from the incapacity to maintain private health insurance. Considering Rio de Janeiro, there is a constant concern regarding the quality of the services offered to the population. In this way, a case study was elaborated in a federal hospital, located at Rio de Janeiro, with the purpose to present the problems faced by the hospital concerning the traceability and management of warehouse materials. Any economy resulting from the improvements of warehouse management should provide a gain to the services offered to the population. In this sense, the objective of this study is to propose improvements to the process of material traceability inside the public hospital warehouse through the study of the purchase and storage processes. As a result, a proposal has been drawn up to be implemented by the hospital, containing adjustments in their routines, to mitigate problems faced by them that impacts the reduction of costs and improvement of the services.

Exploring risk pooling in hospitals to reduce demand and lead time uncertainty

“…Medications are drugs or other forms "of medicine that you take to prevent or to treat an illness" (Oxford University Press 2020). Consumer goods directly satisfy needs, such as food, surgical thread, cleaning materials, or prostheses (Santos et al 2018). Medications are also consumer goods (Santos et al 2018), but are considered separately due to their importance and often separate supply chain in hospitals (Mc Guire 2015; Jacobs and Chase 2020).…”

“…Consumer goods directly satisfy needs, such as food, surgical thread, cleaning materials, or prostheses (Santos et al 2018). Medications are also consumer goods (Santos et al 2018), but are considered separately due to their importance and often separate supply chain in hospitals (Mc Guire 2015; Jacobs and Chase 2020). Capital goods are used by the hospital for a longer period of time to produce healthcare services, such as autoclaves, incubators, electrocardiographs, furniture, or utensils (Santos et al 2018).…”

“…Medications are also consumer goods (Santos et al 2018), but are considered separately due to their importance and often separate supply chain in hospitals (Mc Guire 2015; Jacobs and Chase 2020). Capital goods are used by the hospital for a longer period of time to produce healthcare services, such as autoclaves, incubators, electrocardiographs, furniture, or utensils (Santos et al 2018). Examinations take "a close look at" patients "to see if there is anything wrong or to find the cause of a problem" (Oxford University Press 2020).…”