Ceglowski Red, Churilov Leonid, Wasserheil Jeff
Faculty of Information Technology, Monash University, Melbourne, VIC, Australia.
Clin Invest Med. 2005 Dec;28(6):320-2.
The existing models of Emergency Department (ED) operations that are based on the "flow-shop" management logic do not provide adequate decision support in dealing with the ED overcrowding crises. A conceptually different crisis-aware approach to ED modelling and operational decision support is introduced in this paper. It is based on Perrow's theory of "normal accidents" and calls for recognizing the inevitable nature of ED overcrowding crises within current health system setup. Managing the crisis before it happens--a standard approach in crisis management area--should become an integral part of ED operations management. The potential implications of adopting such a crisis-aware perspective for health services research and ED management are outlined.
现有的基于“流水作业”管理逻辑的急诊科（ED）运营模式，在应对急诊科过度拥挤危机时无法提供充分的决策支持。本文引入了一种在概念上不同的、具有危机意识的急诊科建模及运营决策支持方法。它基于佩罗的“常态事故”理论，要求认识到在当前卫生系统设置下急诊科过度拥挤危机的不可避免性。在危机发生前进行管理——这是危机管理领域的一种标准方法——应成为急诊科运营管理的一个组成部分。本文概述了采用这种具有危机意识的视角对卫生服务研究和急诊科管理的潜在影响。
