Conceptual Modeling of the Internet of Things Implementation in Hospitals Supply Chain

Document Type : Research Paper


1 Professor of Industrial Engineering, Faculty of Management, University of Tehran, Tehran, Iran.

2 Associate Professor, Department of Industrial Management, Faculty of Management, University of Tehran, Tehran, Iran.

3 Professor, Department of Systems and Industrial Engineering, Faculty of Engineering, University of Tehran, Tehran, Iran.

4 Assistant Professor, Department of Industrial Management, Faculty of Management, University of Tehran, Tehran, Iran.

5 Ph.D. Candidate, Department of Management, Faculty of Management, University of Tehran, Tehran, Iran.


Given the complexities of supply chain networks, the firms consider modern technologies as a potential factor to improve their supply chain performances. One of these technologies is the Internet of Things (IoT). Hence, the main purpose of this study has been to achieve the conceptual model of the IoT implementation in hospital supply chains. Considering the qualitative nature of the study, relevant articles were specified through library research and collecting the related literature. The outputs obtained were analyzed using the meta-synthesis method and the grounded theory. Then the selected articles were extracted and the grounded theory was used to obtain the conceptual model of the IoT implementation in hospital supply chains. The research results indicated that the model featured 7 main categories, 19 subcategories and 86 codes. The results present a conceptual model for the implementation of the IoT in hospital supply chains including an explanation of the main research category, drivers, prerequisites and enablers, environmental and contextual conditions, challenges, technology implementation strategies, and results and outcomes.


Ahmad, R., Vargo, J., Pulakanam, V., & Chowdhury, M. (2015). A supply chain resilience maturity model.
Akhavan Behbahani, A. (2008). "A Look at the Medical Errors: A Simple error; A Painful Tragedy ", Jam-e-Jam newspaper. 08 June 2008, Newsletter: 100939567644.
Anoosheh, M., Ahmadi, F., Faghihzadeh, S., & Vaismoradi, M. (2008). Causes and management of nursing practice errors: a questionnaire survey of hospital nurses in Iran. International Nursing Review, 55(3), 288-295.
Aryal, A., Liao, Y., Nattuthurai, P., & Li, B. (2018). The emerging big data analytics and IOT in supply chain management: a systematic review. Supply Chain Management: An International Journal.
Atzori, L., Iera, A., & Morabito, G. (2010). The internet of things: A survey.Computer networks, 54(15), 2787-2805.
Baltacioglu, T., Ada, E., Kaplan, M. D., Yurt And, O., & Cem Kaplan, Y. (2007). A new framework for service supply chains. The Service Industries Journal, 27(2), 105-124.
Bates, D. W. (2000). Using information technology to reduce rates of medication errors in hospitals. BMJ: British Medical Journal, 320(7237), 788.
Bendavid, Y., & Boeck, H. (2011). Using RFID to improve hospital supply chain management for high value and consignment items. Procedia Computer Science, 5, 849-856.
Bendavid, Y., & Boeck, H. (2011). Using RFID to improve hospital supply chain management for high value and consignment items. Procedia Computer Science, 5, 849-856.
Blendon, R. J., DesRoches, C. M., Brodie, M., Benson, J. M., Rosen, A. B., Schneider, E., & Steffenson, A. E. (2002). Views of practicing physicians and the public on medical errors. New England Journal of Medicine, 347(24), 1933-1940.
Bradley, J., Barbier, J., & Handler, D. (2013). Embracing the Internet of everything to capture your share of $14.4 trillion. White Paper, Cisco.
Breiner, S., Subrahmanian, E., & Sriram, R. D. (2016, November). Modeling the internet of things: a foundational approach. In Proceedings of the Seventh International Workshop on the Web of Things (pp. 38-41). ACM.
Brennan, C. D. (1998). Integrating the healthcare supply chain. Healthcare financial management: journal of the Healthcare Financial Management Association, 52(1), 31-34.
Chamekh, M., Hamdi, M., El Asmi, S., & Kim, T. H. (2018, July). Key Management Scheme for IOT Based Supply Chain. In 2018 8th International Conference on Computer Science and Information Technology (CSIT) (pp. 271-275). IEEE.
Chamekh, M., Hamdi, M., El Asmi, S., & Kim, T. H. (2018, June). Secured Distributed IOT Based Supply Chain Architecture. In 2018 IEEE 27th International Conference on Enabling Technologies: Infrastructure for Collaborative Enterprises (WETICE) (pp. 199-202). IEEE.
Chan, H. C. (2015). Internet of things business models. Journal of Service Science and Management, 8(4), 552.
Chikul, M., Maw, H. Y., & Soong, Y. K. (2017). Technology in healthcare: A case study of healthcare supply chain management models in a general hospital in Singapore. Journal of Hospital Administration, 6(6), 63-70.
Chu, L. Y., Chen, X. Q., & Dang, S. (2013). Design and Implementation of Supply Chain Integrated System Based on Internet of Things. In Applied Mechanics and Materials (Vol. 433, pp. 2395-2400). Trans Tech Publications.
Coustasse, A., Tomblin, S., & Slack, C. (2013). A review of radio frequency identification technologies and impacts on the hospital supply chain: 2002–2012.
Creswell, J. W., & Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory into practice, 39(3), 124-130.
Cui, Y. (2015, September). Improving supply chain resilience with employment of IOT. In International Conference on Multidisciplinary Social Networks Research (pp. 404-414). Springer, Berlin, Heidelberg.
De Vass, T., Shee, H., & Miah, S. J. (2018). Internet of Things for improving Supply Chain Performance: A Qualitative study of Australian retailers. ACIS2018 Proceedings.
de Vass, T., Shee, H., & Miah, S. J. (2018). The effect of “Internet of Things” on supply chain integration and performance: An organisational capability perspective. Australasian Journal of Information Systems, 22.
Dembińska-Cyran, I. (2005). Internal and external supply chain of hospital. LogForum 1, 1, 5.
DeScioli, D. T. (2005). Differentiating the hospital supply chain for enhanced performance (Doctoral dissertation, Massachusetts Institute of Technology).
Dijkman, R. M., Sprenkels, B., Peeters, T., & Janssen, A. (2015). Business models for the Internet of Things. International Journal of Information Management, 35(6), 672-678.
Duffy, J. (2001). Maturity models: Blueprints for e-volution. Strategy & Leadership, 29(6), 19-26.
Evertzen, W. H. N. (2019). Implementing the Internet of Things within Different Components of a Smart City: A Guideline (Bachelor's thesis, University of Twente).
Farsijani, H., and Fallah Hosseini, A. (2012). Identification and prioritizing the effective factors in achieving the world-class supply chain management and providing appropriate solutions. Industrial Management Perspectives, 3 (2), 25-44.
Felix, F., & Valverde, R. (2014). An RFID Simulation for the Supply Chain Management of the UK Dental Industry. Journal of Theoretical and Applied Information Technology, 60(2), 390-400.
Fortescue, E. B., Kaushal, R., Landrigan, C. P., McKenna, K. J., Clapp, M. D., Federico, F., ... & Bates, D. W. (2003). Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. Pediatrics, 111(4), 722-729.
Gnimpieba, Z. D. R., Nait-Sidi-Moh, A., Durand, D., & Fortin, J. (2015). Using Internet of Things technologies for a collaborative supply chain: Application to tracking of pallets and containers. Procedia Computer Science, 56, 550-557.
Gubbi, J., Buyya, R., Marusic, S., & Palaniswami, M. (2013). Internet of Things (IOT): A vision, architectural elements, and future directions. Future generation computer systems, 29(7), 1645-1660.
Gubbi, J., Buyya, R., Marusic, S., & Palaniswami, M. (2013). Internet of Things (IOT): A vision, architectural elements, and future directions. Future generation computer systems, 29(7), 1645-1660.
Guion, L. A., Diehl, D. C., & McDonald, D. (2011). Triangulation: Establishing the validity of qualitative studies.
Kamble, S. S., Gunasekaran, A., Parekh, H., & Joshi, S. (2019). Modeling the internet of things adoption barriers in food retail supply chains. Journal of Retailing and Consumer Services, 48, 154-168.
Keskin, T., & Kennedy, D. (2015, January). Strategies in smart service systems enabled multi-sided markets: Business models for the internet of things. In System sciences (HICSS), 2015 48th Hawaii international conference, (pp. 1443-1452). IEEE.
Keskin, T., & Kennedy, D. (2015, January). Strategies in smart service systems enabled multi-sided markets: Business models for the internet of things. In System sciences (HICSS), 2015 48th Hawaii international conference (pp. 1443-1452). IEEE.
Khodabakhshi, M., Hadi, F., and Absolutely Arnsabi, K. (2016). Development of supply chain management through the use of automation technology of identifying the objects in organizations over internet. Amad Andisheh, 15 (56), 107-125.
Kochan, C. G., Nowicki, D. R., Sauser, B., & Randall, W. S. (2018). Impact of cloud-based information sharing on hospital supply chain performance: A system dynamics framework. International Journal of Production Economics, 195, 168-185.
Kumar, S., Swanson, E., & Tran, T. (2009). RFID in the healthcare supply chain: usage and application. International Journal of Health Care Quality Assurance, 22(1), 67-81.
Landrigan, C. P., Rothschild, J. M., Cronin, J. W., Kaushal, R., Burdick, E., Katz, J. T., ... & Czeisler, C. A. (2004). Effect of reducing interns' work hours on serious medical errors in intensive care units. New England Journal of Medicine, 351(18), 1838-1848.
Leape, L. L. (1994). Error in medicine. Jama, 272(23), 1851-1857.
Lin, D., Lee, C. K. M., & Lin, K. (2016, December). Research on effect factors evaluation of internet of things (IOT) adoption in Chinese agricultural supply chain. In 2016 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM) (pp. 612-615). IEEE.
Liu, B., Zhao, G., & Li, J. A. (2015) design scheme of supply chain information system based on Internet of things.
Lockamy, A., & McCormack, K. (2004). The development of a supply chain management process maturity model using the concepts of business process orientation. Supply Chain Management: An International Journal, 9(4), 272-278.
Martinelly, D. C., Riane, F., & Guinet, A. (2009). A Porter-SCOR modeling approach for the hospital supply chain. International Journal of Logistics Systems and Management, 5(3-4), 436-456.
McKone‐Sweet, K. E., Hamilton, P., & Willis, S. B. (2005). The ailing healthcare supply chain: a prescription for change. Journal of Supply Chain Management, 41(1), 4-17.
Menon, A., & Sinha, R. (2013). Implementation of Internet of Things in bus transport system of Singapore. Asian Journal of Engineering Research, Forthcoming.
Merriam, S. B. (2009). Qualitative research: A guide to design and implementation. John Wiley & Sons.
Mezouar, H., El Afia, A., Chiheb, R., & Ouzayd, F. (2016, May). Proposal of a modeling approach and a set of KPI to the drug supply chain within the hospital. In 2016 3rd International Conference on Logistics Operations Management (GOL) (pp. 1-6). IEEE.
Morse, J. M., Barrett, M., Mayan, M., Olson, K., & Spiers, J. (2002). Verification strategies for establishing reliability and validity in qualitative research. International journal of qualitative methods, 1(2).
Muntjir, M., Rahul, M., & Alhumyani, H. A. (2017). An analysis of Internet of Things (IOT): novel architectures, modern applications, security aspects and future scope with latest case studies. Int. J. Eng. Res. Technol, 6(6), 422-447.
Nasiripour, A. A., Raeissi, P., Tabibi, S. J., & Keikavoosi Arani, L. (2011). Hidden threats inducing medical errors in Tehran public hospitals. Bimonthly Journal of Hormozgan University of Medical Sciences, 15(2), 152-162. (In Persian).
Nitti, M., Atzori, L., & Cvijikj, I. P. (2014, March). Network navigability in the social internet of things. Internet of Things (WF-IOT), 2014 IEEE World Forum, (pp. 405-410). IEEE.
Peng, Z. P. (2014). Analysis and design of supply chain inventory management system under Internet of things environment. Advanced Materials Research (Vol. 989, pp. 5520-5523). Trans Tech Publications.
Perera, C., Zaslavsky, A., Christen, P., & Georgakopoulos, D. (2014). Context aware computing for the internet of things: A survey. IEEE communications surveys & tutorials, 16(1), 414-454.
Phadnis, S. (2017). Internet of Things and Supply Chains: A Framework for Identifying Opportunities for Improvement and Its Application.
Pishdar, M., Ghasemzadeh, F., Antucheviciene, J., & Saparauskas, J. (2018). Internet of things and its challenges in supply chain management; a rough strength-relation analysis method. Economics and Management.
Qeysari, M., and Tajfar, A. H., Vahdat, D., Hosseini, S. (2013). Supply Chain Management by Deploying the Modern Technology of the Cloud Information-based Internet of Things. Supply Chain Management Quarterly, 15 (42), 26-41.
Reyes, P. M., Li, S., & Visich, J. K. (2012). Accessing antecedents and outcomes of RFID implementation in health care. International Journal of Production Economics, 136(1), 137-150.
Rezaei, H. P., Habibi, S., & Fozounkhah, S. (2007). Information technology, an effective tool in reducing and preventing medical errors: suggestions for improvement.
Rivard-Royer, H., Landry, S., & Beaulieu, M. (2002). Hybrid stockless: A case study: Lessons for health-care supply chain integration. International Journal of Operations & Production Management, 22(4), 412-424.
Sadeghi Moghaddam, M. R. (2012). Designing and Explaining the Supply Chain Coordination Pattern at the Level of the Automobile Manufacturing Network (Case Study: Iran Khodro Co.). PhD Thesis in Production and Operations Management. University of Tehran, Tehran.
Sadigh, A. N., Mozafari, M., & Karimi, B. (2012). Manufacturer–retailer supply chain coordination: A bi-level programming approach. Advances in Engineering Software, 45(1), 144-152.
Sandelowski, M., & Barroso, J. (2006). Handbook for synthesizing qualitative research. Springer Publishing Company.
Schneller, E. S., & Smeltzer, L. R. (2006). Strategic management of the health care supply chain. San Francisco: Jossey-Bass.
Stadler, H. (2008). Supply chain management–an overview. Supply Chain Management and Advanced Planning: Concepts, Models, Software and Case Studies. Fourth edition. Springer-Verlag Berlin Heidelberg, Germany, 9-36.
Stavrulaki, E., & Davis, M. (2010). Aligning products with supply chain processes and strategy. The International Journal of Logistics Management, 21(1), 127-151.
Supeekit, T., Somboonwiwat, T., & Kritchanchai, D. (2015). Linking hospital supply chain processes and performance to identify key performance indicator. In Industrial Engineering, Management Science and Applications 2015, (pp. 927-938). Springer, Berlin, Heidelberg.
Supeekit, T., Somboonwiwat, T., & Kritchanchai, D. (2016). DEMATEL-modified ANP to evaluate internal hospital supply chain performance. Computers & Industrial Engineering, 102, 318-330.
Tenghong, L., & Li, C. (2011, November). The Research for the Performance Evaluation Index System of Supply Chain Based on Internet of Things. In 2011 Fifth International Conference on Management of e-Commerce and e-Government (pp. 176-180). IEEE.
Toba, S., Tomasini, M., & Yang, Y. H. (2008). Supply chain management in hospital: a case study. California Journal of Operations Management, 6(1), 49-55.
Van Hoek, R. I. (1998). “Measuring the unmeasurable”-measuring and improving performance in the supply chain. Supply Chain Management: An International Journal, 3(4), 187-192.
Vermesan, O., & Friess, P. (Eds.). (2014). Internet of Things-From Research and Innovation to Market Deployment. River Publishers.
Vries, J. D., & Huijsman, R. (2011). Supply chain management in health services: an overview. Supply Chain Management: An International Journal, 16(3), 159-165.
Wagenaar, J. (2012). The impact of the Internet of Things on revenue in supply chains. In 17th Twente Student Conference on IT, Netherlands.
Wakenshaw, S. (2017). An IOT-enabled Supply Chain Integration Framework: Empirical Case Studies. In: 15th International Conference on Manufacturing Research (ICMR 2017), London, UK, 5-7 Sep 2017.
Wamba, S. F., Barjis, J., Chatfield, A. T., Bendavid, Y., Boeck, H., & Philippe, R. (2010). Redesigning the replenishment process of medical supplies in hospitals with RFID. Business Process Management Journal.
Wibowo, S. (2012, May). A fuzzy approach for evaluating the performance of supply chain based on Internet of Things. In 2012 IEEE International Conference on Cyber Technology in Automation, Control, and Intelligent Systems (CYBER) (pp. 275-280). IEEE.
Wickramasinghe, N., & Goldberg, S. (2004). How M= EC² in healthcare. International Journal of Mobile Communications, 2(2), 140-156.
Yan, B., & Huang, G. (2009, August). Supply chain information transmission based on RFID and internet of things. In 2009 ISECS International Colloquium on Computing, Communication, Control, and Management (Vol. 4, pp. 166-169). IEEE.
Yang, K., Forte, D., & Tehranipoor, M. (2018). ReSC: An RFID-enabled solution for defending IOT supply chain. ACM Transactions on Design Automation of Electronic Systems (TODAES), 23(3), 29.
Zhang, D., Yang, L. T., & Huang, H. (2011, May). Searching in internet of things: Vision and challenges. In Parallel and Distributed Processing with Applications (ISPA), 2011 IEEE 9th International Symposium on (pp. 201-206). IEEE.
Zhang, Y., & Wen, J. (2015, February). An IOT electric business model based on the protocol of BitCoin. In Intelligence in Next Generation Networks (ICIN), 2015 18th International Conference on (pp. 184-191). IEEE.