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2014, vol. 11, br. 3, str. 229-238
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Upotreba simulacije s ciljem poboljšanja upravljanja ljudskim resursima u bolnicama
Using simulation to improve hospital resource management
Sažetak
Ambulanta hitne medicinske pomoći je jedan od ključnih delova zdravstvene zaštite. Povećana potražnja za urgentnom negom, gužve i ograničeni resursi uzrok su dugih čekanja pacijenata u ambulantama hitne medicinske pomoći. S druge strane, pacijenti ne bi trebalo predugo da se zadržavaju u njima. Dugo čekanje pacijenata dovodi do zagušenja i nereda. Ova studija teži smanjenju čekanja i dužine boravka pacijenata u ambulanti za hitne slučajeve. Idealno rešenje, uvidom u rezultate simulacije, su dodatna tri ležaja i jedan doktor medicine što poboljšava korišćenje ležaja za 17,4% i 34,1% kvalitet stručne medicinske pomoći. Isto tako poboljšava prosek čekanja na doktora i hospitalizaciju za 82% odnosno 86%, pritom umanjujući dužinu boravka za 8%.
Abstract
Emergency Department is a primary health care unit of hospitals, and usually one of the main entrances to the hospital and a key part of the health care system. Increasing demand for emergency care, overcrowding and limited resources are phenomena that cause much delay for patients in ED. In other hand, because the philosophy of creating ED, patient shouldn't stay too long in ED. Long waiting time led to congestion and disturbance in ED process. This study seeks to reduce patient's waiting time and length of stay in ED. By noticing simulation result increasing 3 beds and 1 GP that cause17.4% improvement in bed utilization and 35.1% in GP utilization, and improve average waiting time for visiting GP and average waiting time for hospitalization 82% and 86 % respectively and 8 % decrease length of stay is the best scenario.
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Reference
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Ahmad, N., Ghani, N.A., Kamil, A.A., Tahar, R.M., Teo, A.H. (2012) Evaluating Emergency Department Resource Capacity Using Simulation. Modern Applied Science, 6(11)
|
|
|
Ahmed, M.A., Alkhamis, T.M. (2009) Simulation optimization for an emergency department healthcare unit in Kuwait. European Journal of Operational Research, 198(3): 936-942
|
|
|
Alkaabi, R., el Halim, A.o., Mahmoud, S. (2006) Improving Resource Allocation Efficiency in Health Care Delivery Systems. u: Canadian Conference on Electrical and Computer Engineering
|
|
|
Brailsford, S., Vissers, J. (2011) OR in healthcare: A European perspective. European Journal of Operational Research, 212(2): 223-234
|
|
|
Cochran, J.K., Broyles, J.R. (2010) Developing nonlinear queuing regressions to increase emergency department patient safety: Approximating reneging with balking. Computers and Industrial Engineering, 59(3): 378-386
|
|
|
Faezipour, M., Ferreira, S. (2013) A System Dynamics Perspective of Patient Satisfaction in Healthcare. Procedia Computer Science, 16: 148-156
|
|
|
Ferreira, J., Gomes, C., Yasin, M. (2011) Improving patients' satisfaction through more effective utilization of operating rooms resources. Clinical Governance: An International Journal, 16(4): 291-307
|
|
|
Holm, L.B., Dahl, F.A. (2010) Simulating the influence of a 45% increase in patient volume on the emergency department of Akershus University Hospital. u: Proceedings of the 2010 Winter Simulation Conference
|
|
|
Khandekar, S., Mari, J., Wang, S. (2007) Implementation of structural changes to the care process in the emergency department using discrete event simulation. u: 2007 Industrial Engineering Research Conference, Proceedings
|
|
|
Ng, C., Hsu, K., Kuan, J., Chiu, T., Chen, W., Lin, H., Bullard, M.J., Chen, J. (2010) Comparison Between Canadian Triage and Acuity Scale and Taiwan Triage System in Emergency Departments. Journal of the Formosan Medical Association, 109(11): 828-837
|
|
|
Sadjadi, S.J., Soltani, R., Izadkhah, M., Saberian, F., Darayi, M. (2011) A new nonlinear stochastic staff scheduling model. Scientia Iranica, 18(3): 699-710
|
|
|
Weng, S., Cheng, B., Kwong, S.T., Wang, L., Chang, C. (2011) Simulation Optimization for emergency department resources allocation. u: Proceedings of the 2011 Winter Simulation Conference (WSC)
|
|
|
Withanachchi, N., Uchida, Y., Nanayakkara, S., Samaranayake, D., Okitsu, A. (2007) Resource allocation in public hospitals: is it effective?. Health policy (Amsterdam, Netherlands), 80(2): 308-13
|
|
|
Xu, M., Wong, T.C., Chin, K.S. (2013) Modeling daily patient arrivals at Emergency Department and quantifying the relative importance of contributing variables using artificial neural network. Decision Support Systems, 54(3): 1488-1498
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