A-205 Evaluating the Cost and Importance of Supply Chain Resilience in the Clinical Laboratory
Abstract Background Recent pandemics, epidemics and outbreaks continually underscore the critical importance of resilient supply chains in healthcare, particularly in clinical laboratories where timely access to supplies is essential for patient care. Supply chain disruptions, whether due to global crises or localized challenges, can significantly impact laboratory operations, leading to delayed diagnoses, compromised patient outcomes, and increased costs. It is estimated that 70%-80% of a patients’ EMR is clinical laboratory results. Despite this, supply chain resilience in clinical laboratories remains an under-addressed issue and remains a buzzword. Methods To evaluate the cost and importance of supply chain resilience in the clinical laboratory, we conducted a comprehensive review and interviews with 9 Healthcare Supply Chain experts analyzing the impact of supply chain disruptions on laboratory operations and patient care. Data was also collected from a diverse range of clinical laboratories, including hospitals, independent labs, and research institutions, spanning different geographic regions as well as a survey of 50 Laboratory experts with a 50% response rate. Key metrics assessed included: -Frequency and duration of supply chain disruptions. -Financial costs incurred due to disruptions, including expenses related to expedited shipping, alternative sourcing, and inventory management. -Impact on laboratory workflow, turnaround times, and patient care outcomes. -Strategies employed to mitigate supply chain risks and enhance resilience. Results Our review revealed findings regarding the cost and importance of supply chain resilience in the clinical laboratory: -Supply chain disruptions were frequent, with 85% of laboratories experiencing at least one significant disruption in the past year and 100% in experienced disruptions 2022. -The average duration of disruptions was 2-3 weeks, leading to substantial delays in test processing and patient care. -Financial costs associated with disruptions averaged $50,000 per laboratory per annum, including expenses for rush orders, and premium-priced alternatives. -Common strategies employed were increased inventory or safety stocks, multi-vendor sourcing, and supply chain mapping. Conclusions The findings of this study underscore the critical importance of supply chain resilience in the clinical laboratory. Supply chain disruptions are not just inconveniences; they pose significant risks to patient safety, operational efficiency, and financial sustainability. Investing in supply chain resilience is imperative for laboratories to fulfill their mission of delivering timely and accurate patient results. To continue to enhance supply chain resilience, laboratories must adopt a proactive approach, leveraging data-driven insights and collaborative partnerships. This includes diversifying supplier networks and fostering closer collaboration between laboratory and procurement teams.
- Research Article
- 10.1108/nbri-10-2024-0109
- Oct 21, 2025
- Nankai Business Review International
Purpose This study aims to explore the interplay between supply chain collaboration and disruption and their joint impact on supply chain resilience. It also aims to identify the configurational conditions under which supply chain resilience is achieved, providing a holistic framework for enhancing supply chain management practices amidst disruptions. Design/methodology/approach This study uses a fuzzy-set qualitative comparative analysis (fsQCA) to investigate the complex causal mechanisms linking supply chain collaboration and disruption with supply chain resilience. The research integrates three dimensions of collaboration with three dimensions of disruption, offering a comprehensive understanding of supply chain resilience factors. Findings This study reveals that supply chain resilience is not solely dependent on individual elements but is shaped by unique configurations of collaboration and disruption factors. Information sharing emerges as a core factor in high resilience, while the absence of supply and facility disruptions significantly influences resilience outcomes. The research highlights the importance of multiple paths leading to supply chain resilience and the asymmetrical impact of collaboration and disruption. Research limitations/implications The study acknowledges limitations due to data sourced exclusively from China and the use of static data, suggesting the need for cross-temporal and international samples to enhance broader applicability. Future research should consider dynamic temporal changes and diverse theoretical perspectives to comprehensively examine the factors influencing supply chain resilience. Practical implications The research underscores the critical role of information sharing in bolstering supply chain resilience and advises firms to prioritize it in their strategies. It also highlights the importance of mitigating supply and facility disruptions through supplier diversification and robust contingency planning, offering actionable insights for enhancing operational efficiency and risk management in supply chain management. Social implications This research has significant social implications, particularly in the context of global supply chain disruptions. By identifying key factors that enhance supply chain resilience, it can help businesses better prepare for and respond to crises, thereby reducing economic instability and social disruption. Improved resilience can lead to more stable employment, maintain the flow of essential goods and services and contribute to overall societal well-being during times of supply chain stress. Originality/value This study offers original insights by applying fsQCA to explore the multifaceted relationship between supply chain collaboration, disruption and resilience. Its value lies in revealing the complex causal configurations that lead to high or low levels of supply chain resilience, challenging traditional linear perspectives and providing a nuanced understanding that can guide both academic research and practical supply chain management strategies.
- Research Article
12
- 10.1108/ijlm-10-2022-0422
- Jun 27, 2023
- The International Journal of Logistics Management
PurposeThis systematic literature review analyzes the academic literature to understand SC risk and resilience across different organizational sizes and industries. The academic literature has well discussed the causes of supply chain (SC) risk events, the impact of SC disruptions, and associated plans for SC resilience. However, the literature remains fragmented on the role of two fundamental elements in achieving SC resilience: the firm's size and the firm's industry as firms' contingent factors. Therefore, it is important to investigate and highlight SC resilience differences by size and industry type to establish more resilient firms.Design/methodology/approachBuilding upon the contingent resource-based view of the firm, the authors posit that organizational factors such as size and industry sector have important roles in developing organizational resilience capabilities. This systematic literature review and analysis is based on the structural and systematic analysis of high-ranked peer-reviewed journal papers from January 2000 to June 2021 collected through three global scientific databases (i.e. ProQuest, ScienceDirect, and Google Scholar) using relevant keywords.FindingsThis systematic literature review of 230 high-quality articles shows that SC risk events can be categorized into demand, supply, organizational, operational, environmental, and network/control risk events. This study suggests that the SC resilience plans developed by startups, small and mdium-sized enterprises (SMEs), and large organizations are not necessarily the same as those of large enterprises. While collaboration and networking and risk management are the most crucial resilience capabilities for all firms, applying lean and quality management principles and utilizing information technology are more crucial for SMEs. For large firms, knowledge management and contingency planning are more important.Originality/valueThis study provides a comprehensive review of the literature on SC resilience plans across different organizational sizes and industries, offering new insights into the nature and dynamics of startups', SMEs', and large enterprises' SC resilience in different industries. The study highlights the need for further investigation of SC risk and resilience for startups, SMEs, and different industries on a more detailed level using empirical data. This study’s findings have important implications for researchers and practitioners and guide the development of effective SC resilience strategies for different types of firms.
- Research Article
21
- 10.1002/joom.1250
- Apr 1, 2023
- Journal of Operations Management
Building responsive and resilient supply chains: Lessons from the <scp>COVID</scp>‐19 disruption
- Research Article
4
- 10.5267/j.jfs.2023.1.003
- Jan 1, 2023
- Journal of Future Sustainability
During a pandemic like COVID-19, the country adopted a lockdown to minizine the spread of the pandemic which disrupted the global supply chain and supply chain resilience failed to minimize disruption. In this regard, this study aims to explore the resilience system among countries during a global disruption and the impact of supply chain disruption on supply chain resilience through misinformation/fake news, panic buying behavior, and inflation factors. For this purpose, the analytical study has been selected to predict the impact of supply chain disruption on supply chain resilience through misinformation/fake news, panic buying behavior, and inflation and propose a solution accordingly. The data from 89 countries are collected on various factors for the year 2020 and mediating analysis is selected to test the hypothesis through regression and correlation. They illustrate that there is a 46% correlation and 21% dependency between supply chain disruption and supply chain resilience through misinformation/fake news, panic buying behavior, supply chain disruption & inflation. The criterion validity of convergence validity and Cronbach of homogeneity test are applied. It has been found that panic buying behavior & supply chain disruption has a 71% strong correlation as compared to other factors and the reliability is 69% which is highly reliable and acceptable. In the end, it is concluded that strong coordination among countries will minimize global supply chain disruption through supply chain resilience for continuing supply chain activities and supply chain organizations & mass media organizations coordination with each other for minimizing misinformation/fake news, panic buying behavior supply chain disruption, and inflation factors to improve supply chain resilience by using artificial intelligence technology.
- Book Chapter
1
- 10.5772/intechopen.113128
- Feb 21, 2024
Supply chain disruption refers to any event or occurrence that interrupts the flow of goods or services from suppliers to customers. This disruption can have a significant impact on businesses and can lead to delays, shortages, and increased costs. To mitigate the impact of supply chain disruptions, businesses can take several steps. These include diversifying their supplier base, maintaining safety stock levels, investing in technology to improve supply chain visibility, and developing contingency plans for dealing with disruptions. In addition, businesses can work with their suppliers and customers to build stronger relationships and improve communication and collaboration. This can help to identify potential issues early and allow for more effective problem-solving when disruptions do occur. Overall, supply chain disruption is a significant challenge for businesses, but with careful planning and proactive measures, it is possible to minimize the impact and maintain business continuity. The mixed methodology used in the research to capture the expertise opinions and the stakeholder’s expectations of the Supply chain and its necessity to be resilient.
- Research Article
- 10.54709/jobesam.1351540
- Jan 16, 2024
- Uluslararası Davranış, Sürdürülebilirlik ve Yönetim Dergisi
This study aims to identify best practices in strategic procurement to alleviate the impact of supply chain disruptions around the world. The UK and similar countries rely significantly on global procurement, and the disruptions caused by events like the COVID-19 outbreak and Brexit have severe impacts. The study is conducted in two phases, including a literature review and actual research with an apt methodology. The primary findings of this research are the identification of best practices and looking at the procurement function as a strategic function integrated with supply chain management to make supply chain resilient organizations. This study contributes to the expanding literature concentrating on evaluating the best practices for a sourcing organization to become supply chain resilient during significant supply chain disruptions.
- Research Article
34
- 10.1108/ijpdlm-09-2013-0247
- Oct 5, 2015
- International Journal of Physical Distribution & Logistics Management
Purpose – Supply chain structure, characteristics, and applicable policies differ between developing and developed countries. While most supply chain management research is directed toward supply chains in developed countries, the authors wish to explore the financial impact of disruptions on supply chains in a developing country. The purpose of this paper is to highlight the importance of effective supply chain management practices that could help avoid or mitigate disruptions in Indian companies. The authors study the stock market impact of supply chain disruptions in Indian companies. The authors also aim to understand the difference in financial implications from disruptions between companies in India and the USA. Design/methodology/approach – Event study methodology is applied on supply chain disruptions data from Indian companies. The data are compiled from public news release in Indian press. A data set of 301 disruptions for a ten-year period from 2003-2012 is analyzed. Stock valuation of a company is used to assess the financial impact. Findings – The results show that Indian companies on average lose −2.88 percent of shareholder wealth in an 11-day window covering the event day and five days pre- and post-disruption announcement. A significant stock decline was observed as early as three days prior to announcement, indicating possibility of insider trading and information differentials between investors. Irrespective of the location and responsibility of a disruption, companies experience significant negative returns. Company size, book-to-market ratio, and debt-to-equity ratio were found to be insignificant in affecting the stock market reactions to disruptions. The authors also compiled supply chain disruptions data for US companies. When compared to the US companies, Indian companies register a significantly higher stock decline in the event of a disruption. Research limitations/implications – Supply chain disruptions data from India and the USA are analyzed. Broad applicability of results across countries may require studying other developing countries. The research demonstrates potential effectiveness of investment in supply chain management initiatives. It also motivates research focussed specifically on supply chains in developing countries. Practical implications – Supply chain decision makers in India could benefit from investment in disruptions management and mitigation practices. The results provide a valuation of effective supply chain management. The findings provide guidance for investors in making decisions when supply chains face disruptions. Originality/value – The paper studies the financial consequences of supply chain disruptions in a developing country. The study is valuable because of increasing globalization, outsourcing, and the economic role of developing countries.
- Research Article
22
- 10.1108/bij-02-2021-0084
- Nov 23, 2021
- Benchmarking: An International Journal
PurposeThe study of supply chain disruption (SCD) and supply chain resilience (SCR) remains to be studied deeply in the field of business management. The purpose of this paper is to showcase a framework of SCR strategies to reduce the adverse effects of SCD using systematic literature review and data visualization.Design/methodology/approachUsing a systematic literature review approach, the paper explores the concepts of supply chain disruption and supply chain resilience. Through rigorous systematic screening, authors studied papers on both the concepts and have proposed a framework for the same. The authors also have used data visualization and network diagram approaches for better understanding of the topic.FindingsThe systematic literature review of both the concepts brings out some exciting results which give a new direction to supply chain field. The outcome of this research also outlines numerous future research direction, which will be useful for the research community.Practical implicationsThe numerous strategies of SCR should be implemented by manufacturing as well as a service organization. The framework reported in this research help academician and practitioners to understand SCR and to easily overcome any level of disruption. Supply chain managers must also formulate strategies accordingly and make plans to continually expand the system.Originality/valueThis research is the first such attempt to showcase a formal systematic framework and co-occurrence networks as well as overlay networks of SCR and SCD.
- Research Article
3
- 10.1108/ijpdlm-03-2022-0094
- Dec 27, 2022
- International Journal of Physical Distribution & Logistics Management
PurposeFake news on social media about COVID-19 pandemic and its associated issues (e.g. lockdown) caused public panic that lead to supply chain (SC) disruptions, which eventually affect firm performance. The purpose of this study is to understand how social media fake news effects firm performance, and how to mitigate such effects.Design/methodology/approachGrounded on dynamic capability view (DCV), this study suggests that social media fake news effects firm performance via SC disruption (SCD) and SC resilience (SCR). Moreover, the relation between SCD and SCR is contingent upon SC learning (SCL) – a moderated mediation effect. To validate this complex model, the authors suggest effectiveness of using partial least squares structural equation modeling (PLS-SEM). Using an online survey, the results support the authors’ hypotheses.FindingsThe results suggest that social media fake news does not affect firm performance directly. However, the authors’ serial mediation test confirms that SCD and SCR sequentially mediate the relationship between social media fake news and firm performance. In addition, a moderated serial mediation test confirms that a higher level of SCL strengthens the SCD–SCR relationship.Research limitations/implicationsThis work offers a new theoretical and managerial perspective to understand the effect of fake news on firm performance, in the context of crises, e.g. COVID-19. In addition, this study offers the advancement of PLS as more robust for real-world applications and more advantageous when models are complex.Originality/valuePrior studies in the SC and marketing domain suggest different effects of social media fake news on consumer behavior (e.g. panic buying) and SCD, respectively. This current study is a unique effort that investigates the ultimate effect of fake news on firm performance with complex causal relationships via SCD, SCR and SCL.
- Research Article
39
- 10.1108/jmtm-08-2022-0307
- Mar 16, 2023
- Journal of Manufacturing Technology Management
PurposeThe current study sought to investigate the moderating effect of supply chain disruptions (SCD) (supply chain – supply disruption, catastrophic disruption and infrastructure disruption) on the relationship between supply chain resilience (SCR) and supply chain performance (SCP) of manufacturing firms in Ghana.Design/methodology/approachThe quantitative research approach and explanatory research designs were utilised. A sample of 345 manufacturing firms were drawn from a population of 2,495 manufacturing firms in the Accra metropolis. The Partial Least Squares Structural Equation Modelling (PLS-SEM) was employed to accomplish the research objectives.FindingsFirst, the study revealed that SCR has a significant positive effect on SCP. Second, the authors found reasonable evidence to support that SCD have a significant positive moderating effect on the relationship between SCR and SCP, except for supply chain catastrophic disruption which had a negative impact. It can be concluded that the components of SCD have heterogeneous impact in the SCR and SCP nexus.Research limitations/implicationsThe study is limited to manufacturing firms in Ghana and does not make a distinction among resilience strategies.Practical implicationsIncreased SCR boost manufacturing companies' supply chains' performance and aid to lessen the adverse effects of SCD relating to infrastructure and supply. It implies that supply chain managers are able to reduce the effects of infrastructure and supply disruptions. Also, techniques that reduce the adverse impact of SCD relating to catastrophe would be beneficial for supply chain managers in Ghana and other countries with comparable economic environments.Originality/valueThe study provides a unique contribution on the moderating role of the dimensions of SCD (supply, infrastructure and catastrophic) on the nexus between SCR and SCP in a developing economy context in a dynamic changing environment. Policymakers would get better insights into instituting the required policies needed to revamp firms with weak supply chains as a result of supply chain disruption.
- Research Article
5
- 10.69554/oxzm1680
- Dec 1, 2020
- Journal of Business Continuity & Emergency Planning
This study investigates the mitigating influence of business continuity management (BCM) with respect to supply chain disruptions. Using a dataset from the 2017 BCI Supply Chain Resilience Report, the authors conduct partial least square-based structural equation modelling with reflective constructs for both exogenous and endogenous variables. The results demonstrate that BCM reduces vulnerability and mitigates the impact of supply chain disruptions on operational performance. The study highlights BCM’s contribution to such important components of supply chain resilience as visibility, collaboration and agility. In addition to demonstrating the impact of BCM on supply chain resilience, the paper explains the role of top management in the BCM process, and provides a list of measures that organisations can take to protect themselves from external threats. This is the first study to use statistical analysis to provide empirical validation in this field, while employing a clear definition of BCM in line with international best practices.
- Research Article
3
- 10.1108/jbim-10-2023-0562
- Apr 30, 2024
- Journal of Business & Industrial Marketing
PurposeThis study aims to investigate the interplay between a proactive attitude towards disruptions – supply chain disruption orientation – and supply chain resilience, increasing our understanding of their influence on reducing the impact of supply chain disruptions within the B2B context.Design/methodology/approachAs unexpected disruptions are closely related to a dynamic and changing perception of the environment, this research is framed under the dynamic capabilities lens, consistent with existing resilience literature. The authors used partial least squares-path modeling (PLS-PM) to empirically test the proposed research model using survey data from 216 firms.FindingsResults show that a proactive approach to disruptions alone is insufficient in mitigating their negative impact. Instead, a firm’s disruption orientation plays a crucial role in boosting its resilience, which acts as a mediator, reducing the impact of disruptions.Originality/valueThis paper sheds light on the mechanisms by which firms can mitigate the effects of supply chain disruptions and offers insights into how certain capabilities are needed so that firms’ attitudes can effectively impact firm performance. This research thus suggests that dynamic capabilities, traditionally perceived as being enabled by other elements, act themselves as enablers. Consequently, they have the potential to translate strategic orientation or attitudes into tangible effects on performance, enriching our understanding of how firms combine their internal attitudes and capabilities to achieve sustained competitive advantage.
- Research Article
38
- 10.1007/s42524-022-0229-x
- Feb 8, 2023
- Frontiers of Engineering Management
Black swan events such as the coronavirus (COVID-19) outbreak cause substantial supply chain disruption risks to modern companies. In today’s turbulent and complex business environment, supply chain resilience and robustness as two critical capabilities for firms to cope with disruptions have won substantial attention from both the academia and industry. Accordingly, this study intends to explore how digitalization helps build supply chain resilience and robustness. Adopting organizational information processing theory, it proposes the mediating effect of supply chain collaboration and the moderating effect of formal contracts. Using survey data of Chinese manufacturing firms, the study applied structural equation modelling to test the research model. Results show that digitalization has a direct effect on supply chain resilience, and supply chain collaboration can directly facilitate both resilience and robustness. Our study also indicates a complementary mediating effect of supply chain collaboration on the relationship between digitalization and supply chain resilience and an indirect-only mediation effect on the relationship between digitalization and supply chain robustness. Findings reveal the differential roles of digitalization as a technical factor and supply chain collaboration as an organizational factor in managing supply chain disruptions. Paradoxically, formal contracts enhance the relationship between digitalization and supply chain resilience but weaken the relationship between supply chain collaboration and supply chain resilience. The validation of moderating effects determines the boundary conditions of digitalization and supply chain collaboration and provides insights into governing supply chain partners’ behavior. Overall, this study enhances the understanding on how to build a resilient and robust supply chain.
- Research Article
31
- 10.4102/jtscm.v10i1.253
- Jan 29, 2016
- Journal of Transport and Supply Chain Management
Orientation: In today’s globalised and complex business environment, firms are ever more vulnerable to supply chain disruptions, originating both internally and externally from the supply chain. Supply chain resilience minimises the impact of a disruption through design approaches, which allows the supply chain to respond appropriately to disruptive events.Research purpose: This article investigated the supply chain risks faced by grocery manufacturers in the South African fast-moving consumer goods (FMCG) industry and explored supply chain design approaches that enable supply chain resilience.Motivation for the study: South African grocery manufacturers are faced with distinct risks. Whilst supply chain risk management studies have provided firms with certain guidelines to mitigate risk, supply chains are still vulnerable to unanticipated risks. Literature on supply chain resilience in the South African context is scant. The concept of supply chain resilience provides firms with strategies that are built into the supply chain that allow firms to react and recover swiftly from disruptions. Furthermore, supply chain resilience strategies assist firms in becoming less vulnerable to possible disruptions.Research design approach and method: This study was conducted by using a descriptive qualitative research design. Data were collected through semi-structured interviews with senior supply chain practitioners specifically within the South African FMCG grocery manufacturing industry.Main findings: The study found that labour unrest is the most common risk faced by the industry. Furthermore, strategic stock and supply chain mapping are of the most useful design approaches to enhance supply chain resilience.Practical/managerial implications: The study provides managers with new insights in guiding supply chain design decisions for resilient supply chains. Through the identification of risks and appropriate solutions linked to the various risks, the study allows managers an array of options to choose from when enforcing a resilient supply chain.Contribution/ value-add: The study contributes to the body of knowledge by being one of the first empirical studies conducted on supply chain design approaches for supply chain resilience in the South African context. The study also adds to the scarce literature on supply chain resilience in the FMCG industry, both globally and in a South African context.
- Research Article
- 10.47510/jeat.2022.4.1.1
- Jun 30, 2022
- The East Asian Trade Association
Purpose – Supply chain disruptions have dominated business planning and performance since the beginning of the COVID-19 pandemic and continue to mar organizations through 2022. This research carefully examines the role of organizational culture in developing both supply chain resilience and market performance amid supply chain disruptions.
 Design/Methodology/Approach – An empirical study of over 200 South Korean firms were tested. The model is tested using PLS-SEM; furthermore, mediation effects enrich the quality of the findings. This research is framed utilizing the stimulus-organism-response model; thus, emphasizing the highly dynamic business environment that has ensued.
 Findings – The research confirms that supply chain disruption orientation, a strategic orientation and a proxy for a well-prepared organizational culture, leads to both supply chain resilience and market performance. Results also confirm that resilience reinforces market performance throughout the supply chain. Study contributions suggest that firms should consider themselves as organisms within a highly dynamic environment and develop a highly prepared organizational culture in order to bolster supply chain resilience and market performance.
 Research Implications – Scholars can further employ the stimulus-organism-response model in firm-level research and further study the link between organizational culture and supply chain performance amid COVID-19. Finally, the results of this research provide guidelines for organizations when they decide on operational procedures during the pandemic, as they aim to produce greater returns for their ventures.
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