Bakmohammadi Nasrin, Karimi Hossein, Vahdani Hashem
University of Bojnord, Department of Industrial Engineering, Faculty of Engineering, Iran.
Transfus Apher Sci. 2023 Apr;62(2):103529. doi: 10.1016/j.transci.2022.103529. Epub 2022 Aug 30.
In spite of significant advancements in medicine, there is still a shortage of human blood in the world. At present, there is no alternative chemical process or product that can produce blood, and only humans are capable of doing so. It is for this reason that blood is such an important component of our healthcare system. Due to the perishability of blood, managing blood inventories can be challenging. The challenge is to maintain a high level of supply while minimizing loss due to expiration. The purpose of this study is to present a mathematical model that reduces inventory costs, determines the optimal ordering policy in hospitals, and prevents the loss of blood units. To determine the optimal inventory level and order volume, a mixed integer programming model is presented in both deterministic and non-deterministic conditions. In order to address the uncertainty in the problem, a robust optimization approach is used. This model minimizes the transfer of blood groups and transmission between hospitals by considering compatibility and priority. A sensitivity analysis has also been conducted on the model. Based on a case study, it is demonstrated that the costs of buying, storing, ordering, and wasting two important RBCs and platelets can be reduced.
尽管医学取得了重大进展,但世界上仍存在人类血液短缺的问题。目前,没有替代的化学过程或产品能够生产血液,只有人类能够做到这一点。正因如此,血液是我们医疗保健系统中如此重要的一个组成部分。由于血液的易腐性,管理血液库存可能具有挑战性。挑战在于保持高水平的供应,同时将因过期造成的损失降至最低。本研究的目的是提出一个数学模型,该模型可降低库存成本,确定医院的最优订购策略,并防止血液单位的损失。为了确定最优库存水平和订购量,在确定性和非确定性条件下都提出了一个混合整数规划模型。为了解决问题中的不确定性,使用了一种稳健优化方法。该模型通过考虑兼容性和优先级,将血型转移和医院之间的传输降至最低。还对该模型进行了敏感性分析。基于一个案例研究,结果表明可以降低两种重要红细胞和血小板的购买、储存、订购和浪费成本。