Ghiyasinasab Marzieh, Lahrichi Nadia, Lehoux Nadia
Department of mathematics and industrial engineering, Polytechnique Montréal, Montréal, Canada.
Department of mechanical engineering, Laval University, Québec, Canada.
Health Syst (Basingstoke). 2021 Dec 11;12(2):181-197. doi: 10.1080/20476965.2021.2004933. eCollection 2023.
Decontamination centres provide sterilisation services (sort, disinfect, package, and sterilise) for reusable surgical instruments that have a vital impact on patient safety. The market trend is to increase the level of automation in the decontamination process, to increase productivity, and reduce the risk of human error and musculoskeletal injuries. The goal of this research is to study the use of automated guided vehicles (AGVs) in sterilisation departments, to improve safety and efficiency. A generic simulation model is created based on data gathering of various decontamination centres and is validated for a specific centre to analyse various aspects of applying AGVs to automate the internal transfer. Centre's potential to increase capacity through AGV application is analysed and a Design of Experiments is conducted to identify the most promising implementation scenarios. Results show reductions in treatment time and work in process, while ,maintaining the accessibility of medical instruments, and ensuring worker safety.
去污中心为可重复使用的手术器械提供消毒服务（分类、消毒、包装和灭菌），这些器械对患者安全至关重要。市场趋势是提高去污过程的自动化水平，以提高生产率，并降低人为错误和肌肉骨骼损伤的风险。本研究的目的是研究自动导引车（AGV）在消毒部门的使用情况，以提高安全性和效率。基于对各个去污中心的数据收集创建了一个通用模拟模型，并针对特定中心进行了验证，以分析应用AGV实现内部转运自动化的各个方面。分析了该中心通过应用AGV提高产能的潜力，并进行了实验设计以确定最有前景的实施方案。结果表明，在保持医疗器械可及性并确保工人安全的同时，治疗时间和在制品数量减少。
