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处理能力限制问题:重症监护中的运营管理。

Working with capacity limitations: operations management in critical care.

机构信息

Department of Operations and Information Management, The Wharton School, Leonard Davis Institute of Health Economics, University of Pennsylvania, Huntsman Hall 573, 3730 Walnut Street, Philadelphia, PA 19104, USA.

出版信息

Crit Care. 2011 Aug 16;15(4):308. doi: 10.1186/cc10217.

DOI:10.1186/cc10217
PMID:21892976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3387581/
Abstract

As your hospital's ICU director, you are approached by the hospital's administration to help solve ongoing problems with ICU bed availability. The ICU seems to be constantly full, and trauma patients in the emergency department sometimes wait up to 24 hours before receiving a bed. Additionally, the cardiac surgeons were forced to cancel several elective coronary-artery bypass graft cases because there was not a bed available for postoperative recovery. The hospital administrators ask whether you can decrease your ICU length of stay, and wonder whether they should expand the ICU to include more beds For help in understanding and optimizing your ICU's throughput, you seek out the operations management researchers at your university.

摘要

作为医院的 ICU 主任,医院管理层请你帮忙解决 ICU 床位可用性方面持续存在的问题。ICU 似乎总是满员,急诊科的创伤患者有时要等待长达 24 小时才能获得床位。此外,心脏外科医生被迫取消了几例择期冠状动脉旁路移植手术,因为没有术后恢复的床位。医院管理人员询问你是否可以缩短 ICU 的住院时间,并想知道他们是否应该扩大 ICU 以增加更多床位。为了帮助理解和优化 ICU 的吞吐量,你向所在大学的运营管理研究人员寻求帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d667/3387581/444723c8c5a3/cc10217-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d667/3387581/1d791f17550a/cc10217-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d667/3387581/3bff75c13ec0/cc10217-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d667/3387581/444723c8c5a3/cc10217-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d667/3387581/1d791f17550a/cc10217-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d667/3387581/3bff75c13ec0/cc10217-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d667/3387581/444723c8c5a3/cc10217-3.jpg

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