Letter Re: Kanban: America’s Ubiquitous “Just in Time” Inventory System–A Fragile House of Cards
James: This “just in time” thinking has transformed the medical industry, especially hospitals. The “Central Supply” or stockpile in hospitals has disappeared and in its place are vendors with same day and next day shipping. This includes band-aids, medications, ventilators, equipment etc. In the business setting it makes sense, but in the medical setting it often falters on a day to day basis. In a crisis medical event, surge capacity is limited to how fast the vendors can respond. In a contained disaster, vendors can shift needed supplies to a hospital in as little as several hours. But, in a …