traceability in french hospital at dijon. - gs1 · 2015. 4. 20. · supplier b pharmacy internal...

Traceability in French Hospital at Dijon.

Regional & University Hospital at Dijon in few figures :

• 455 600 days of patient’s care (2004)

• 610 838 « external » consultations (2004)

• 21 131 surgical operations (2004)

• 6 455 medical emergency missions (2004)

• 4 669 employees (ex MD) (2004)

• 1 242 medical doctors (2004)

• 1 638 beds (2004)

• 14 hectares of burgundy wine yards

Why logistics in a hospital ?

Supplier ACU

CU

CU

CU

CU

CUCU

CU

CU

CUCU

CU

CU

CU

CU

CU

CU

CUCU

Supplier B

Pharmacy

Internal distribution is the « last mile » in traceability issues.

Internal traceability must comply with

professional standards

Patient

Drugs

Steriledevices

Other.medical devices

Patient’srecords

Dirty Linen

Food

Clean Linen

Back dishes

Litter

Blood

Samples

Surgical instruments

Hotel & Office Stationnery

Surgical instruments

Post

Post

KEY FLOWS

« norm»As many « norms »as

material flows !

Reduce the variety of norms to their minimum !

Simplification is natural for boxes and pallets;How to make it simple for

Traceability ?

For instance: Process timing Temperatures

Equipments TechniciansPharmacists

Basic data :Batch nr Serial nr

Best beforedate

ROW MATERIALS

PRODUCTS

BASIC PROCESS UNIT

Basic data :Origin

Batch Nr Serial Nr

Expiry date

MT

MT MATERIALS TRACEABILITY

OT

OT OPERATIONS TRACEABILITY

PT

PT PRODUCTS TRACEABILITY

ExampleInstrumentSterilization

Pharmaceutical Preparations

MTOT

PT

MTOT

PT

Sequence of processes:Specificity of the transportation process

OT

Transportation :

= process without product transformations

Data about basic product remain unchanged

Parcel

MTOT

PT

MTOT

PT

Traceability of operations:Specificity of the transportation operations

OT

Parcel’s code :SSCC

Dispatcher ‘sGLN

Delivery point’sGLN

ParcelLevelProduct

LevelProductLevel

ProductLevel

GTIN

ParcelLevel

SSCC SSCC

MT

Batch nr Serial nr

Best before or Expiration date

OT

GTIN

PT

MTOT

PT

MTOT

Batch nr Serial nr

Best before or Expiration date

Batch nr Serial nr

Best before or Expiry date

Link with Patient’s file

Data about product traceability to be keptavailable throughout the chain

GTIN

SSCCTM

TOTP

SSCC

SSCC

SSCC

SSCCSSCC

GLNTM

TOTP

TMTO

TP

TMTO

TP

TMTO

TP

TMTO

TP

TMTO

TP

Despatch Advise(DESADV)

Batch nr, serial nr, dates, etc. of sent products by parcel nr SSCC

Despatch Advise(DESADV)

Batch nr, serial nr, dates, etc. of sent products by parcel nr SSCC

Data about product traceability transmittedor

data capture at each receipt ?

GSRN :Staff member

GLN :Dispatch pt

GLN :Destination

GRAI:Container

GTIN +Serial Nr

Practical application :

GSRN :Staff

member

GLN :Collect pt

GLN:Arrival pt

Ship toGLN

GRAI:Container

Mr X,Ch 101,Lit 1CHIR1 SCANHGRDV 15h30Transport : BPrécaution : O2

A.R. Départ Arrivée

GLN :Deliver to

GLN :Collecting pt

GSRN :Stretcher Bearer

GLN:Arrival pt

GRAI:Stretcher

GSRN :Patient episode

Questions ?

Contact :francois.bisch@chu-dijon.fr