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