利用模拟技术对一家急症医院儿科床位安置的改进进行建模。
Using Simulation to Model Improvements in Pediatric Bed Placement in an Acute Care Hospital.
作者信息
Lambton Judith, Roeder Theresa, Saltzman Robert, Param Lila, Fernandes Roxanne
机构信息
Author Affiliations: Professor Emerita, School of Nursing, University of San Francisco (Dr Lambton); and Associate Professor (Dr Roeder) and Professor (Dr Saltzman), Department of Decision Sciences, San Francisco State University, California; and Magnet Coordinator, Center for Professional Development and Practice Children's Minnesota (Ms Param), and Chief Nursing Officer (Ms Fernandes), Children's Minnesota, Minneapolis.
出版信息
J Nurs Adm. 2017 Feb;47(2):88-93. doi: 10.1097/NNA.0000000000000445.
OBJECTIVE
The objective of this project was to use an interdisciplinary approach to analyze strategies through simulation technology for improving patient flow in a pediatric hospital.
BACKGROUND
Various statistics have been offered on the number of children admitted annually to hospitals. For administrators, particularly in smaller systems, the financial burden of equipping and staffing pediatric units often outweighs the moral desire to maintain a pediatric unit as a viable option for patients and pediatricians.
METHODS
Discrete event simulation was used to model current operations of a pediatric unit. Cost analysis was conducted using simulation reflecting various percentages of patients being referred to a discharge holding area (DHA) upon discharge and of the use of all private rooms.
RESULTS
Both DHA and private rooms resulted in increased patient volumes.
CONCLUSIONS
Administrators should consider the use of a DHA and/or private rooms to ease the census strains of pediatric units and the resultant revenue of this service.
目的
本项目的目的是采用跨学科方法，通过模拟技术分析改善儿科医院患者流程的策略。
背景
已提供了关于每年入院儿童数量的各种统计数据。对于管理人员，尤其是在较小的医疗系统中，配备儿科病房设备和人员的财务负担往往超过了将儿科病房作为患者和儿科医生可行选择的道德愿望。
方法
使用离散事件模拟对儿科病房的当前运营进行建模。通过模拟进行成本分析，该模拟反映了出院时被转诊至出院等候区（DHA）的患者的不同百分比以及所有单人病房的使用情况。
结果
DHA和单人病房均导致患者数量增加。
结论
管理人员应考虑使用DHA和/或单人病房来缓解儿科病房的 census 压力以及该服务产生的收入。 （注：census 在这里可能有误，结合语境推测可能是“床位紧张”之类的意思，但按要求未做修改）
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