Pianykh Oleg S, Rosenthal Daniel I
Department of Radiology, Harvard Medical School; Radiology Department, Massachusetts General Hospital, Boston, Massachusetts.
Department of Radiology, Harvard Medical School; Radiology Department, Massachusetts General Hospital, Boston, Massachusetts.
J Am Coll Radiol. 2015 Oct;12(10):1058-66. doi: 10.1016/j.jacr.2015.04.010.
The importance of patient wait-time management and predictability can hardly be overestimated: For most hospitals, it is the patient queues that drive and define every bit of clinical workflow. The objective of this work was to study the predictability of patient wait time and identify its most influential predictors.
To solve this problem, we developed a comprehensive list of 25 wait-related parameters, suggested in earlier work and observed in our own experiments. All parameters were chosen as derivable from a typical Hospital Information System dataset. The parameters were fed into several time-predicting models, and the best parameter subsets, discovered through exhaustive model search, were applied to a large sample of actual patient wait data.
We were able to discover the most efficient wait-time prediction factors and models, such as the line-size models introduced in this work. Moreover, these models proved to be equally accurate and computationally efficient. Finally, the selected models were implemented in our patient waiting areas, displaying predicted wait times on the monitors located at the front desks. The limitations of these models are also discussed.
Optimal regression models based on wait-line sizes can provide accurate and efficient predictions for patient wait time.
患者等待时间管理和可预测性的重要性再怎么强调也不为过:对于大多数医院而言,正是患者排队情况驱动并界定了临床工作流程的方方面面。这项工作的目的是研究患者等待时间的可预测性,并确定其最具影响力的预测因素。
为解决此问题,我们制定了一份包含25个与等待相关参数的综合列表,这些参数在早期工作中有所提及并在我们自己的实验中观察到。所有参数均选自典型医院信息系统数据集。将这些参数输入到几个时间预测模型中,通过详尽的模型搜索发现的最佳参数子集应用于大量实际患者等待数据样本。
我们能够发现最有效的等待时间预测因素和模型,比如本文中介绍的队列规模模型。此外,这些模型被证明具有同等的准确性和计算效率。最后,所选模型在我们的患者等候区得以实施,在前台的显示器上显示预测等待时间。还讨论了这些模型的局限性。
基于队列规模的最优回归模型能够为患者等待时间提供准确且高效的预测。