Rose K, Cheong C, Andrien K
Department of Anaesthesia, St. Michael's Hospital, Toronto, Ont.
Can J Anaesth. 1989 Nov;36(6):722-7. doi: 10.1007/BF03005430.
A computerized scheduling program was developed to provide hospital anaesthetic coverage and yet still satisfy the complex workstyles of 30 anaesthetists. Hospital commitments required ten anaesthetists available each weekday and four each weekend day for after-hours coverage of the intensive care units and operating rooms. The workstyles included part-time arrangements, limited calls by some individuals, and calls restricted to certain anaesthetists with specific areas of expertise. Rules were defined to limit the proximity of late calls to avoid fatigue and computer software was developed. For each scheduling period, the program assists in making daily call assignments based on each anaesthetist's availability and a priority ranking system. It is flexible enough to allow personal preferences. The number and distribution of all calls scheduled are counted. When the assignments are completed, differences are reconciled. For two years, this program has proved superior to previous manual systems for scheduling this group of anaesthetists with variable workstyles.
开发了一个计算机化调度程序,以提供医院麻醉服务,同时仍能满足30名麻醉师复杂的工作模式。医院的工作要求每个工作日有10名麻醉师值班,每个周末有4名麻醉师值班,以便为重症监护病房和手术室提供非工作时间的服务。工作模式包括兼职安排、一些人接到的电话有限,以及电话仅限于某些具有特定专业领域的麻醉师。制定了规则来限制深夜电话的接近程度,以避免疲劳,并开发了计算机软件。对于每个调度期,该程序根据每位麻醉师的可用性和优先级排序系统,协助进行每日电话分配。它足够灵活,可以考虑个人偏好。统计所有安排的电话数量和分布情况。分配完成后,进行差异调整。两年来,该程序已证明在为这群工作模式多样的麻醉师安排调度方面优于以前的手动系统。