Inventory management in a House for pregnant women, newborns, and postpartum women: improvement cycle implementation
Quality Improvement; Health Care Resource Management; Product storage; Health Services
Introduction: The inadequate management of stocks in healthcare units can affect their performance and put patient care at risk, and waste of the stocks is a critical factor within organizations, as it can hide problems due to lack of planning and processes. In a scenario of care for pregnant women, postpartum women, and newborns, this premise becomes even more relevant. The implementing tools that support effective inventory management provide safe service, as well as impact the financial management of an institution. Objective: To implement inventory management activities in a House for pregnant women, newborns, and postpartum women (HPNP). Methodology: Quantitative study with a quasi-experimental design, in which the stages of the quality improvement cycle were followed. Carried out in a HPNP in the capital of Ceara, the first stage of the study consisted of defining the opportunity for improvement. To plan the improvement cycle, criteria were defined that, when evaluated, illustrate the effectiveness of the interventions carried out. In this definition, the necessary clarifications of each criterion were established, as well as the criteria being subjected to an agreed assessment. A flow was designed, which served as support for following up on stock management actions. Quantitative data were analyzed in their absolute and relative frequencies and presented in graphs. Results: The implementation of the management of inputs related to assistance was defined as a priority. For this situation, an analysis was carried out, in which excessive requests, lack of inventory, among others, were identified as the main causes. The following criteria were defined for evaluating the subjects, namely, ‘All inputs must be within the expiration date’; and ‘All inputs must be more than 2 months old from the expiration date’, the evaluation of which demonstrated 100% agreement between those evaluated. After defining the stages of activities for stock management and their execution, an evaluation was carried out, which showed a reduction in waste from 28.9% in the pre-intervention inventory to 5.4% in the second post-intervention inventory. The main items wasted in the pre-intervention stage were PPE. In the post-intervention stages, the materials with the highest percentages were from the other category. Discussion: Inventory management is considered to have begun, with success in reducing waste. However, new activities, already planned, are still possible for implementation.