战争相关事件影响下的医院择期手术手术室调度
Operating Rooms Scheduling for Elective Surgeries in a Hospital Affected by War-Related Incidents.
机构信息
Business Administration Department, Middle Technical University Baghdad, Baghdad, Iraq.
School of Technology Management and Logistics UUM, Kedah, Malaysia.
出版信息
J Med Syst. 2019 Apr 10;43(5):139. doi: 10.1007/s10916-019-1263-z.
Hospital scheduling presents huge challenges for the healthcare industry. Various studies have been conducted in many different countries with focus on both elective and non-elective surgeries. There are important variables and factors that need to be taken into considerations. Different methods and approaches have also been used to examine hospital scheduling. Notwithstanding the continuous changes in modern healthcare services and, in particular, hospital operations, consistent reviews and further studies are still required. The importance of hospital scheduling, particularly, has become more critical as the trade-off between limited resources and overwhelming demand is becoming more evident. This situation is even more pressing in a volatile country where shootings and bombings in public areas happened. Hospital scheduling for elective surgeries in volatile country such as Iraq is therefore often interrupted by non-elective surgeries due to war-related incidents. Hence, this paper intends to address this issue by proposing a hospital scheduling model with focus on neuro-surgery department. The aim of the model is to maximize utilization of operating room while concurrently minimizing idle time of surgery. The study focused on neurosurgery department in Al-Shahid Ghazi Al-Hariri hospital in Baghdad, Iraq. In doing so, a Mixed-integer linear programming (MILP) model is formulated where interruptions of non-elective surgery are incorporated into the main elective surgery based model. Computational experiment is then carried out to test the model. The result indicates that the model is feasible and can be solved in reasonable times. Nonetheless, its feasibility is further tested as the problems size and the computation times is getting bigger and longer. Application of heuristic methods is the way forward to ensure better practicality of the proposed model. In the end, the potential benefit of this study and the proposed model is discussed.
医院调度给医疗保健行业带来了巨大的挑战。许多国家已经进行了各种研究,重点关注选择性和非选择性手术。需要考虑重要的变量和因素。也已经使用了不同的方法和方法来检查医院的调度。尽管现代医疗服务不断变化,特别是医院运营不断变化,但仍需要进行持续审查和进一步研究。随着有限资源和压倒性需求之间的权衡变得更加明显,医院调度的重要性变得更加关键。在一个动荡的国家,这种情况更加紧迫,因为在公共场所发生枪击和爆炸事件。因此,由于与战争有关的事件,伊拉克等动荡国家的选择性手术的医院调度经常被非选择性手术打断。因此,本文旨在通过提出一个侧重于神经外科部门的医院调度模型来解决这个问题。该模型的目的是在同时最小化手术空闲时间的同时最大化手术室的利用率。该研究集中在伊拉克巴格达的 Al-Shahid Ghazi Al-Hariri 医院的神经外科部门。为此,制定了一个混合整数线性规划(MILP)模型,其中将非选择性手术的中断纳入基于主要选择性手术的模型中。然后进行计算实验来测试模型。结果表明,该模型是可行的,可以在合理的时间内解决。尽管如此,随着问题规模和计算时间的增加和延长,进一步测试了其可行性。启发式方法的应用是确保所提出模型的更好实用性的途径。最后,讨论了这项研究和所提出模型的潜在好处。