Improving Medical Supply Chain in the Emergency Department – A Lean Framework

Shortages of essential medical supplies can compromise patient care and increase operational strain in the emergency department (ED). Despite restocking efforts by the central storage, the ED faces critical challenges. To address these challenges, this study employs the lean framework. From 6 AM to 10 PM, the ED employs two supply staff to fulfill nurses' requests. However, between 6 PM and 6 AM, central storage remains closed, necessitating the forwarding of supply requests to the transport department. This redirection causes delays, requiring nurses to involve ED patient care technicians or supply coordinators in placing the orders. The approach begins with defining the problem with a process flow diagram and value stream map. Followed by the analysis of root causes and data including PAR levels of supplies that are frequently depleted. Solutions implemented include restructuring communication, optimizing PAR levels, bin sizes, 5S the supply rooms. Control plan will sustain the improvements over time resulting in streamlined process for timely access to essential medical supplies, enhancing patient care and operational effectiveness in the emergency department.