Maintaining appropriate stocks in an operating room pharmaceutical unit: risk mapping of the supply chain.

Abstract

Objectives: Supply chain management is a major challenge for hospital pharmacists, particularly in minimising stock-outs and their impact on patient care. This study aimed to map the risks associated with the supply chain of sterile medical devices in the operating room using a patient-centred approach.

Methods: Risk analysis, conducted using the 'failure modes and effects analysis' approach, took place in 2024. It focused on the sterile medical devices supply chain within an operating room pharmaceutical unit. A multidisciplinary working group developed a risk map for stock discrepancies in four stages: identification of risks, risk rating based on occurrence and severity, listing of control measures and prioritisation of risks.

Results: The risk analysis identified 52 risks across seven subprocesses, with 10% of these risks classified as priority. These priority risks mainly involved the emergency dispensing of equipment in the operating room, the scheduled provision of medical devices through the preparation of case carts, and the storage of products in the pharmaceutical unit. Key areas for improvement included staff training, enhancing software expertise and strengthening quality assurance.

Conclusions: This study presents the first risk map of stock errors for health products in a hospital setting. This approach is applicable to other supply chains in healthcare. Effective risk management depends on a collective effort and the engagement of all stakeholders. Optimising stock management is critical in enhancing the quality and safety of care provided to patients.