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The cost of pharmaceutical supply chain due to drug waste is one of the current major issues in health care. Drug waste associated with intravenous (IV) fluid form of medication is one of the crucial issues for many pharmacies. The purpose of this paper is to apply a cross-docking model to minimize the IV delivery lead time to reduce drug waste by scheduling staff in a local hospital’s inpatient pharmacy.

A mixed integer linear programming model is applied to the IV delivery system of a hospital. The parameters are selected based on the observations made in the inpatient pharmacy.

The result implies that cross-docking approach can be effectively applied to IV delivery system. In fact, the cross-docking optimization model employed in this case study reduces the IV delivery completion time of the inpatient pharmacy by 41 percent.

The scope of this research is limited to the activities performed after IV preparation.

The application of cross-docking system in staff scheduling will be beneficial for health care organizations that aim to minimize medication waste.

The prime value of this study lies in the introduction of a cross-docking concept in an internal hospital ordering process. Cross-docking models are widely used in general supply chain systems; however, their application for specific activities inside hospitals is the novelty of this study, which can fill the research gap in terms of drug waste management within the inpatient pharmacy.

By applying a systematic literature review, this paper aims to identify the major healthcare problem domains (i.e. target areas) for lean supply chain management (LSCM) and to provide a list of the most common techniques for implementing LSCM in healthcare. Moreover, this study intends to investigate various contingency factors that may have influenced the selection of LSCM target areas or the application of LSCM techniques by healthcare organizations.

A systematic literature review was carried out following the method presented by Tranfield et al. (2003). Thereby, 280 peer-reviewed journal articles, published between 1995 and 2018, were selected, profiled and reviewed. In total, 75 papers were also selected for a qualitative analysis, known as meta-study, on the basis of high relevancy to the research objectives.

This work extracts, from previous research, a set of target areas for improving supply chain in healthcare by applying lean approaches. The work also unifies the language of lean thinking and supply chain in healthcare by defining metaphors in circumstances under which healthcare organizations pursue similar objectives from their supply chain management and lean programs (Schmitt, 2005). This paper also outlines a list of applications of lean for supply chain improvement in healthcare. Finally, a set of contingency factors in the field of lean supply chain in healthcare is found via the published literature.

This paper provides insights for decision-makers in the healthcare industry regarding the benefits of implementing LSCM, and it identifies contingency factors affecting the implementation of LSCM principles for healthcare. Implementing LSCM can help healthcare organizations improve the following domains: internal interaction between employees, supply chain cost management, medication distribution systems, patient safety and instrument utilization.

The research shows potential synthesis of LSCM with the healthcare industry’s objectives, and, thus, the outcome of this research is likely to have positive influence on the quality and cost of healthcare services. The objectives of the healthcare industry are cost reduction and providing better service quality, and LSCM implementation could be an effective solution to help healthcare to achieve these objectives.

The prime value of this paper lies in conducting a systematic literature review using a meta-study to identify the major factors of implementing LSCM in healthcare. Only a few other studies have been published in the literature about LSCM in healthcare.