Application and Evaluation of SPD Based Logistics Management Model for Medical Consumables in Clinical Nursing Departments

  • Chai YANG School of Management, Hefei University of Technology, Hefei 230009, PR China And TheFirst Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230031, PR China
  • Wei GU The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China Hefei, 230031, PR China
  • Tongzhu LIU The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China Hefei, 230031, PR China
Keywords: Medical consumables, Hospitals, SPD, Clinical care, Clinical nursing department


Background: Supply, processing, and distribution (SPD) model is sparingly used in hospitals in China. We evaluated its effects on the management efficiency, quality control, and operating costs of medical consumables (MCs) in the clinical nursing surroundings in a single Chinese hospital-Anhui Provincial Hospital from 2014 to 2015.

Methods: Amount-based packages (ABP) and procedure-based packages (PBP) models were created. They were introduced the use of quick response (QR) code scanning for using in clinical nursing departments (CNDs). Questionnaires were prepared by referring to previous literature and using Delphi method repeatedly, further discussed and formalized. Partial results of the formal questionnaire were analyzed using SPSS.

Results: Frequency of MCs claims reduced without any requirements of MCs in 70% of CNDs. Average time spent on the inventory per week decreased and the time required to procure MCs reduced. Moreover, the average satisfaction score with MCs management increased, reaching 100%. Average space occupied by MCs decreased significantly, reducing by 1.2444m3. Overall, 100% of the respondents concluded that the management of MCs improved effectively and the inventory turnover rate had accelerated. The cost of MCs decreased by 15% with more than 10% increase in in-hospital amount, and the average daily cost of MCs also showed decrease.

Conclusion: SPD can improve the efficiency of MCs management in CNDs, reducing medical risks and disputes, saving hospital operating costs, and decreasing capital occupation.




1. Ekeskär A, Rudberg M (2016). Third-party logistics in construction: the case of a large hospital project. Construction Management and Economics, 34(3): 1-18.
2. Bhakoo V, Chan C, Vries JD (2011). Collaborative implementation of e-business processes within the health-care supply chain: the Monash Pharmacy Project. Int J Supply Chain Manag, 16(3): 184-93.
3. Graban M (2016). Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, 3rd ed, Productivity Press. New York.
4. Govindan K, Fattahi M, Keyvanshokooh E (2017). Supply chain network design under uncertainty: A comprehensive review and future research directions. Eur J Oper Res, 263:108-141.
5. Yang D, Liu YS, Wang XP, et al (2009). Research of Logistical System Application Based Hospital Business Operation System. China Digital Medicine, 4(10): 58-61.
6. Yang C, Zhang W, Gu W, Shen A (2016). Research on the Application of Lean Management in Medical Consumables Material Logistics Management. Zhongguo Yi Liao Qi Xie Za Zhi, 40(6): 454-7.
7. Dembi I Skacyran (2005). Internal and external supply chain of hospital. Log Forum, 1 (5): 1-7.
8. Ito N, Chinzei M, Fujiwara H, et al (2006). Outline and effectiveness of support system in the surgical center by supply, processing and distribution center (SPD). Masui, 55 (4):478-485.
9. Chen L, Wu Y, Huang R (2017). Effectiveness Analysis of Collaboration Application of SPD and HIS in Drug Logistics Management. China Pharm, 28(13):1797-1800.
10. Li S, Gao L, Chen W (2016). Application and Effect Evaluation of Drug SPD System in Our Hospital. China Pharm, 27(34):4820-4822.
11. Otter JA, Nowakowski E, Salkeld JAG, et al (2013). Saving costs through the de-contamination of the packaging of unused medical supplies using hydrogen peroxide vapor. Infect Control Hosp Epidemiol, 34 (5):472- 478.
12. Han C, Yuan Z (2010). Supply chain manage-ment of high-value consumables and the rela-tionships with medical quality and medical safety. Science Management, 25 (8):61-64.
13. Wu W, Lu G (2012). Efficient logistics system of medical consumables. Chinese Rural Health Service Administration, 32 (2):141-143.
14. Yang J, Lu Q, Li C (2006). Standardization of medical consumable management. Sci Management, 27 (9):50-51.
15. Liu T, Shen A, Hu X, et al (2016). SPD-based Logistics Management Model of Medical Consumables in Hospitals. Iran J Public Health, 45(10): 1288-99.
16. Supeekit T, Somboonwiwat T, Kritchanchai D (2016). DEMATEL-modified ANP to evaluate internal hospital supply chain performance. Comput Ind Eng, 102: 318-330.
17. Wasule S, Metkar S (2017). Improvement in two-dimensional barcode. Indian Academy of Sciences, Sadhana, 42(7):1025-1035.
18. Gibbons JD (1993). Nonparametric Statistics: An Introduction. Newbury Park, CA: Sage Publications.
19. Bhattacharjee P, Ray PK (2014). Patient flow modelling and performance analysis of healthcare delivery processes in hospitals: A review and reflections. Comput Ind Eng, 78: 299–312.
20. Grigoroudis E, Orfanoudaki E, Zopounidis C (2012). Strategic performance measurement in a healthcare organisation: A multiple criteria approach based on balanced scorecard. Omega, 40(1): 104-119.
21. Zimmerman DW (1997). A note on interpretation of the paired-samples t test. J Educ Behav Stat, 22(3): 349-60.
22. Liu T, Shen A, Hu X, et al (2017). The Application of Collaborative Business Intelligence Technology in the Hospital SPD Logistics Management Model. Iran J Public Health, 46(6): 744-54.
23. Khorajia MH, Farris JA, Haas S (2009). Design of a kanban system for an OR sterile supply room: A case study. Industrial Engineering Research Conference.
24. Lin Q (2015). The application of the new model -SPD service model of medical sanitary materials supply chain. Chinese Medical Association, Xiamen.
25. Holm MR, Rudis MI, Wilson JW (2015). Medication supply chain management through im-plementation of a hospital pharmacy compu-terized inventory program in Haiti. Glob Health Action, 8:26546.
26. Aguilar-Escobar VG, Bourque S, Gallego NG (2015). Hospital kanban system implementation: Evaluating satisfaction of nursing personnel. Investigaciones Europeas de Dirección y Economía de la Empresa, 21 (3): 101-110.
27. Doerner KF, Reimann M (2007). Logistics of healthcare management. Comput Oper Res, 34(3): 621-623.
28. Smith BK, Nachtmann H, Pohl PA (2009). Management Initiatives in Healthcare Logistics. Mendeley.
29. Yaduvanshi D, Sharma A (2017). Lean Six Sigma in Health Operations:Challenges and Opportunities—‘Nirvana for Operational Efficiency in Hospitals in a Resource Limited Settings’. J Health Manag, 19(2): 203-213.
How to Cite
YANG C, GU W, LIU T. Application and Evaluation of SPD Based Logistics Management Model for Medical Consumables in Clinical Nursing Departments. Iran J Public Health. 48(8):1452-1460.
Original Article(s)