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一种用于大型医院普通外科手术排程的分层多准则数学规划方法。

A hierarchical multiple criteria mathematical programming approach for scheduling general surgery operations in large hospitals.

作者信息

Ogulata S Noyan, Erol Rizvan

机构信息

Department of Industrial Engineering, Cukurova University, Adana, Turkey.

出版信息

J Med Syst. 2003 Jun;27(3):259-70. doi: 10.1023/a:1022575412017.

DOI:10.1023/a:1022575412017
PMID:12705458
Abstract

Limited staff and equipment within surgical services require efficient use of these resources among multiple surgeon groups. In this study, a set of hierarchical multiple criteria mathematical programming models are developed to generate weekly operating room schedules. The goals considered in these models are maximum utilization of operating room capacity, balanced distribution of operations among surgeon groups in terms of operation days, lengths of operation times, and minimization of patient waiting times. Because of computational difficulty of this scheduling problem, the overall problem is broken down into manageable hierarchical stages: (1) selection of patients, (2) assignment of operations to surgeon groups, and (3) determination of operation dates and operating rooms. Developed models are tested on the data collected in College of Medicine Research Hospital at Cukurova University as well as on simulated data sets using MPL optimization package.

摘要

外科服务部门的人员和设备有限,这就要求在多个外科医生团队之间高效利用这些资源。在本研究中,开发了一组分层多标准数学规划模型,以生成每周的手术室时间表。这些模型所考虑的目标包括手术室容量的最大利用、手术在外科医生团队之间在手术日、手术时间长度方面的均衡分配,以及患者等待时间的最小化。由于此调度问题的计算难度,整个问题被分解为可管理的分层阶段:(1) 患者选择,(2) 手术分配给外科医生团队,以及 (3) 手术日期和手术室的确定。所开发的模型在库库洛瓦大学医学院研究医院收集的数据以及使用MPL优化软件包的模拟数据集上进行了测试。

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本文引用的文献

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J Med Syst. 1995 Aug;19(4):333-52. doi: 10.1007/BF02257264.
运筹学技术在手术室调度问题中的应用:文献综述。
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Advancing the integration of hospital IT. Pitfalls and perspectives when replacing specialized software for high-risk environments with enterprise system extensions.推进医院信息技术整合。用企业系统扩展取代高风险环境下的专用软件时的陷阱与前景。
Appl Clin Inform. 2017 May 17;8(2):515-528. doi: 10.4338/ACI-2016-06-RA-0100.
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Operations research in global health: a scoping review with a focus on the themes of health equity and impact.全球卫生领域的运筹学:一项以卫生公平和影响主题为重点的范围综述
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J Med Syst. 2016 Jan;40(1):30. doi: 10.1007/s10916-015-0385-1. Epub 2015 Nov 7.
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Scheduling elective surgeries: the tradeoff among bed capacity, waiting patients and operating room utilization using goal programming.安排择期手术:运用目标规划在床位容量、等待手术的患者以及手术室利用率之间进行权衡。
Health Care Manag Sci. 2017 Mar;20(1):33-54. doi: 10.1007/s10729-015-9334-2. Epub 2015 Jul 17.
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Analysis of the integration of the physician rostering problem and the surgery scheduling problem.医师排班问题与手术安排问题的整合分析
J Med Syst. 2014 Jun;38(6):43. doi: 10.1007/s10916-014-0043-z. Epub 2014 May 22.
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Allocating operating room block time using historical caseload variability.利用历史病例负荷变异性分配手术室整段时间。
Health Care Manag Sci. 2015 Dec;18(4):419-30. doi: 10.1007/s10729-014-9269-z. Epub 2014 Mar 4.
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Operational research in the management of the operating theatre: a survey.手术室管理中的运筹学研究:一项调查。
Health Care Manag Sci. 2011 Mar;14(1):89-114. doi: 10.1007/s10729-010-9143-6. Epub 2010 Nov 20.