实时管理医院内患者运输请求
Vinicius M Ton1,2,3, Nathália C O da Silva4,5, Angel Ruiz6,7
1Operations and Decision Systems Department, Faculty of Business Administration, Université Laval, Québec City, G1V 0A6, Québec, Canada. vinnimt@gmail.com.
Health care management science
|March 6, 2024
概括
本研究介绍了医院患者运输的优化安排和重新安排策略,减少患者等待时间和运营成本. 新方法显著减少了延误和搬运距离,改善了医院的整体物流.
科学领域:
- 运营研究 运营研究
- 医疗保健管理的管理
- 优化物流的优化物流.
背景情况:
- 管理患者在医院的运输请求是复杂的,因为不可预测的到达和需要及时服务.
- 平衡及时的患者到来与尽量减少资源使用 (端口时间和距离) 是一个关键的挑战.
研究的目的:
- 开发和评估用于医院患者运输的新型安排和重新安排策略.
- 为了减少患者响应时间和延迟请求的百分比,同时尽量减少运营成本.
主要方法:
- 提出了几项政策,以触发和执行悬而未决的运输请求的重新安排.
- 开发了三种方法来解决重定时问题:数学公式,构造式启发式和局部搜索启发式.
- 使用模拟工具对现实世界医院数据进行性能评估.
主要成果:
- 最好的调度和重新调度策略组合将响应时间平均减少5.7分钟.
- 实现了患者迟到运输请求的百分比减少13%.
- 显著减少了运输员总距离,使运输员数量和运营成本的潜在减少成为可能.
结论:
- 拟议的方法在医院患者运输管理方面的现行做法上有了显著的改进.
- 优化调度和重新调度可以节省大量成本,改善医疗保健物流中的服务水平.
- 这些发现表明,动态调度对于高效的实时管理医院运输服务至关重要.
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