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The Covid-19 pandemic generated significant changes in the operating methods of hospital logistics departments. The objective of this research is to understand how these changes took place, what collaboration mechanisms were developed with clinical authorities and, to what extent, logistics and clinical care activities should be decoupled to maximize each area's contribution?

The case study is selected to investigate practices implemented during the COVID-19 pandemic in hospitals in Canada. The pandemic presented an opportunity to contrast practices implemented in response to this crisis with those historically used in this environment.

The strategy of decoupling logistical tasks of an operational nature from clinical activities is well-founded and helps free clinical staff from tasks for which they are not trained. However, the decoupling of operational tasks should be combined with an integration of the clinical information flow to the logistics hub players. With this clinical information, the logistics hub can generate its full potential enabling better inventory management decisions to be made.

The concept of decoupling is studied to identify configurations that offer the best benefits for clinical staff.

Words like “marriage,” “mutual trust” and “partnership” are often used to describe buyer‐supplier relationships in a Just‐in‐Time environment. Using a transaction cost economics framework, we contend that this structure is and will continue to be the most efficient arrangement for both parties, as long as the balance of power is maintained. However, as the relationship evolves over time, the balance of power can shift and “cooperation” can turn into abuse.

Due to the diversity of its players, the American healthcare sector has experimented with different types of integrated supply chain management systems for medical supplies. In the 1980s, US distributors were offering customers the so‐called stockless replenishment method, whereby the distributor picks and packs products according to the particular needs of each patient care unit and, in most cases, delivers them directly. By the late 1990s, stockless agreements had run out of steam, as distributors sought to optimize the balance between their efforts expended in hospital replenishment and the hospitals’ inventory savings. Among the various reflections and initiatives aimed at finding such a new balance, we focused on the experience of a Quebec (Canada) hospital adopting a hybrid version of the stockless system, under which the distributor supplied high‐volume products for the patient care unit in case quantities, leaving the institution’s central stores to break down bulk purchases of low‐volume products into point‐of‐use format (eaches). The study reveals marginal benefits from the hybrid method for both the institution and the distributor. However, it also reveals the importance of the manufacturer’s role with respect to packing formats, and demonstrates that the rearrangement of storage areas can generate substantial savings, opening the way to means for improving the healthcare sector supply chain.

In industrial management, the 1980s marked the end of the twentieth century, an epoch dominated by US manufacturers, the alleged masters of mass production. This system has now been outstripped in several dynamic sectors by flexible/agile production. Increases in the pace of technological progress, training and aspirations have made the modern context so dynamic that firms which manage to harness the creativity and initiative of a good part of their workforce have an advantage over those that can only count on the input of their experts and managers. In sectors undergoing relatively broad and rapid change, twenty‐first century firms must adopt a more flexible and innovative type of organization to achieve manufacturing excellence.

Previous research on routine dynamics has most commonly incorporated consideration of power, politics, and conflict by using the notion of “truce.” In this paper, the authors propose a novel approach to integrating theories of power and politics with those of routine dynamics, and illustrate it by drawing on an in-depth study of operating room routines in a general hospital. The authors show how the dynamic interaction among groups’ sources of power, interests, and strategies is linked to the performance and patterning of routines. The approach opens up the originally rather static notion of “truce” to an inherently more dynamic and processual view of the micropolitics underpinning routines. The authors contribute to the routine dynamics literature by showing how and why the micropolitical context may influence, undermine, or reproduce the patterning and performing of organizational routines following a change initiative, and more broadly by illustrating an approach to integrating political considerations into the theory of routine dynamics.