患者流动建模和模拟以研究急诊室HAI发生率
Sarawat Murtaza Sara1, Ravi Chandra Thota1, Yusuf Sarwar Uddin1
1University of Missouri Kansas-City, Kansas City 64110, USA.
概括
医院的患者流动对医疗保健相关感染 (HAI) 有重大影响. 在急诊室模拟患者的移动显示,HAI率与被占用区域和访问时间相关,有助于制定有针对性的预防策略.
科学领域:
- 医疗保健管理的管理
- 传染病流行病学 传染病流行病学
- 模拟建模模的模拟模型.
背景情况:
- 医疗相关感染 (HAI) 是一个重大挑战,增加死亡率,发病率和住院时间.
- 高血压感染的起源往往无法追踪,但医疗机构内的患者流动是可疑的促成因素.
研究的目的:
- 为了建模和模拟医院急诊室的患者流动.
- 调查患者运动模式与HAI发生率之间的关系.
主要方法:
- 在11个月内从急诊室收集患者移动数据和流程图.
- 在Anylogic中使用离散事件模拟 (DES) 开发并验证了一种患者流动模型.
- 模拟患者轨迹通过各种ED区域,如分拣,等待室和手术室.
主要成果:
- 发现HAI的发病率与患者所占的区域和停留时间成正比.
- 模拟模型成功捕获了急诊室内的患者运动动态.
结论:
- 患者流动建模是理解和预测HAI发病率的宝贵工具.
- 医院管理人员可以利用这些见解来实施有针对性的干预措施,以减少HAI和提高患者安全.
关键词:
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