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Cold chain management in hospitals: the recipe for success


Julian Vogelsanger
January 9, 2025
Hospital
Reading Time: 5 min.
What do you need to have an effective hospital? Sure, an optimized supply chain management, efficient logistics, competent medical staff and proven treatment methods. But without a functioning management cold chain goods, all this becomes irrelevant. The best nurse cannot help a patient if the medication is useless. The best anesthesiologist cannot prepare surgery if the narcotic is useless. Why useless? Because if certain medical products are not stored in a specific way, they can no longer be applied. It is essential for critical medication or other temperature-sensitive products to be stored in the required temperature range, ensuring proper temperature control.

Cooling systems are vital in managing the cold supply chain, helping that each process runs smoothly from storage to transportation. They are an irreplaceable part of any cold chain management system and help make storage of medicines in hospitals safer. They feature a comprehensive monitoring system and assets designed specifically for use in healthcare.

What is cold chain managemant?

The topic of cold chain management has already emerged in the late 18th century, when fishermen searched for a way to preserve their catch before reaching the harbor. Their simple yet efficient solution: ice. During World War II, cold chain logistics became more sophisticated in supplying soldiers in war zones and military hospitals. Food, medication and blood transportation had to be cooled for longer periods of time before reaching their remote destinations. Today, it is more present than ever in various fields, such as:

  • the food industry,
  • chemistry and
  • healthcare – of course.

 

Throughout the manufacturing, packaging, storing and distributing process of temperature-sensitive products, temperature stability is needed. In hospitals, this is especially relevant for medication, narcotics and vaccines that require cooling or frozen storage with temperature control. Hospitals need to ensure that products are transported and stored meticulously to maintain the cold chain's integrity. This is where supply chain management and cold chain logistics play a crucial role. After a safe transportation to the healthcare institution, those products immediately have to be transported to a suitable storage location. The systems used to store cold chain goods have to meet high standards: Operating in a healthcare environment entails extra caution and precision. Patients’ lives depend on absolute accuracy and any error could prove fatal. The systems have evolved from simple fridges to refined cold chain equipment which not only ensures temperature stability, but at the same time monitors the following parameters:

  • humidity
  • temperature deviations
  • inventory

 

With medical refrigerators and freezers, patients can be sure their temperature-sensitive goods are stored in the right cold environment.

The importance of cold chain management

Cold chain logistics and the correct warehousing and tracking of temperature-sensitive products is more important than one might think at first. If anything goes wrong during storage, the product can become ineffective, unsafe or unusable. Many of widely known pharmaceuticals and vaccines need cold storage. For example, Covid-19 vaccines are stored in fridges to preserve the active ingredient. Stored outside a refrigerator, the vaccination can become ineffective. Insulin for diabetes patients also follows special rules. If it is stored in the wrong way, the enzyme might lose its effectiveness.

Proper packaging and monitoring prevent such issues. Effective cold chain logistics ensure that these products are handled correctly throughout the entire supply chain. Find out below why it is necessary to store medical products according to their temperature requirements:

 

  • Patient safety: If medication that requires cooling is stored in a warm environment, it can become dangerous, triggering life-threatening reactions when administered to a patient. Slight temperature deviations are enough to cause toxic degradation products.
  • Medication effectiveness: Stored under wrong temperature conditions, pharmaceuticals can become less effective, missing the treatment goal. The active ingredient is weakened and cannot unfold its full potential.
  • Avoiding losses: In the worst-case scenario, medication that hasn’t been stored correctly becomes useless and must be disposed of. Constant monitoring of the storage temperature can prevent unnecessary wastage and help maintaining the integrity of the products.

Challenges in hospital cold chain management

Hospitals face major challenges when it comes to their cold chain storage solutions. Our medical refrigerators and freezers are prepared for any eventuality to make cold chain storage safer and patient outcomes better. Their special design responds to current problems that have emerged when it comes to cold chain storage.

In case of a power outage, the system automatically issues an alarm, alerting hospital staff to the problem within a few seconds so they can react accordingly. Our ULT freezers are equipped with the DualGuard system for redundancy: If one component fails, the other keeps working and protects the products until the problem is solved. It is therefore highly unlikely that there is no cooling at all.

The top cooling system avoids temperature fluctuations when the door is opened. Warm air is prevented from entering and disturbing the interior temperature. Even the smallest deviations in cold temperature suffice to influence certain medication. Thanks to electric heating glass, frost is unlikely to build up, and the Low-E glass, with its low energy consumption, provides the best insulation possible.

To meet the demand for energy efficiency, our cold chain storage products feature LBA foaming technology, active ECO technology and a D-shaped evaporator. The storage systems have been designed to use space capacities to a maximum, all while using as little energy as possible.

Not essential, but a nice-to-have feature is the DC turbo fan, operating at non-disturbing noise levels. Often, medical cooling is accompanied by an annoying humming sound, affecting the ability to focus.

Effective management of these systems ensures that all these features work together seamlessly to maintain the integrity of the cold chain.


If you manage the cold chain management in your hospital right, your patients are in the best hands.

The patients’ safety is always a hospital’s priority. To provide them with the best care possible, it is crucial to keep an eye on the storage requirements of medication and other products. Medical refrigerators and freezers help hospital staff to maintain the cold chain logistics during storage. They can be sure, each and every medication is stored at the right temperature. And the patients can be sure, each and every medication administered is 100% safe and effective.

 

About the author Julian Vogelsanger
Julian Vogelsanger

In his work in product management at Swisslog Healthcare, Julian relies on his strong technical background in mechanical engineering. His main focus is our PillPick and MedSMART, but he also works on broader product initiatives in transport automation and OEM products.


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