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一种基于模拟方法的患者入院调度问题优化:诊断成像部门案例研究

An optimization based on simulation approach to the patient admission scheduling problem: diagnostic imaging department case study.

作者信息

Granja Conceição, Almada-Lobo Bernardo, Janela Filipe, Seabra João, Mendes Adélio

机构信息

LEPAE, Department of Chemical Engineering, Faculty of Engineering, University of Porto, Rua Roberto Frias S/N, 4200-465, Porto, Portugal.

出版信息

J Digit Imaging. 2014 Feb;27(1):33-40. doi: 10.1007/s10278-013-9626-3.

DOI:10.1007/s10278-013-9626-3
PMID:23917864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3903968/
Abstract

The growing influx of patients in healthcare providers is the result of an aging population and emerging self-consciousness about health. In order to guarantee the welfare of all the healthcare stakeholders, it is mandatory to implement methodologies that optimize the healthcare providers' efficiency while increasing patient throughput and reducing patient's total waiting time. This paper presents a case study of a conventional radiology workflow analysis in a Portuguese healthcare provider. Modeling tools were applied to define the existing workflow. Re-engineered workflows were analyzed using the developed simulation tool. The integration of modeling and simulation tools allowed the identification of system bottlenecks. The new workflow of an imaging department entails a reduction of 41 % of the total completion time.

摘要

医疗服务机构中患者数量的不断增加是人口老龄化和人们对健康的自我意识不断增强的结果。为了保障所有医疗利益相关者的福利,必须实施能够优化医疗服务机构效率的方法,同时提高患者流量并减少患者的总等待时间。本文介绍了葡萄牙一家医疗服务机构对传统放射科工作流程进行分析的案例研究。应用建模工具来定义现有工作流程。使用开发的模拟工具对重新设计的工作流程进行分析。建模和模拟工具的集成使得能够识别系统瓶颈。影像科的新工作流程使总完成时间减少了41%。

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本文引用的文献

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Redefining the sonography workflow through the application of a departmental computerized workflow management system.通过应用部门计算机化工作流管理系统来重新定义超声工作流程。
Int J Med Inform. 2013 Mar;82(3):168-76. doi: 10.1016/j.ijmedinf.2012.06.001. Epub 2012 Jul 2.
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Strategic enterprise resource planning in a health-care system using a multicriteria decision-making model.医疗系统中的战略企业资源规划:使用多准则决策模型。
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J Digit Imaging. 2002 Sep;15(3):178-90. doi: 10.1007/s10278-002-0029-0. Epub 2003 Jan 15.
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Workflow optimization: current trends and future directions.工作流程优化:当前趋势与未来方向。
J Digit Imaging. 2002 Sep;15(3):141-52. doi: 10.1007/s10278-002-0022-7. Epub 2002 Dec 17.