优化急救部门的效率:对过程挖掘和模拟模型进行比较分析,以减轻拥挤和等待时间
Fereshteh Davari1, Mehdi Nasr Isfahani2, Arezoo Atighechian3
1Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC medical informatics and decision making
|October 9, 2024
概括
过程挖掘和模拟模型有效地确定了紧急部门的瓶. 两个关键的解决方案,专门的患者转诊人员和单独的出院大厅,显著改善了患者流动并减少了等待时间.
科学领域:
- 医疗保健运营管理 医疗保健运营管理
- 医疗保健中的流程改进
- 紧急情况部门优化优化
背景情况:
- 紧急诊所 (ED) 面临着严重的挑战,如过度拥挤和长时间的患者等待,这会对患者的满意度产生负面影响.
- 优化患者流量和资源配置对于提高ED效率和患者体验至关重要.
研究的目的:
- 为了比较过程挖掘和模拟模型在识别ED瓶方面的有效性.
- 为了优化患者流动,减少在Al-Zahra医院的急诊室等待时间.
- 通过减轻拥挤和提高运营效率来提高整体患者体验.
主要方法:
- 使用了描述性,应用性,横截面和回顾性研究设计.
- 分析了来自39,264名患者的数据,使用系统的随机抽样 (n=1,275) 以99%的置信度水平.
- 采用了两种建模方法:使用ARENA软件进行模拟,使用Access软件进行过程挖掘,然后对34个拟议的场景进行比较分析.
主要成果:
- 发现的主要瓶包括等待时间,不高效的订单执行,延迟的测试结果记录和排放站拥堵.
- 过程挖掘结果证实了模拟结果,提供了ED低效率的全面视图.
- 通过对34个建议解决方案的模拟,确定了减少等待时间和瓶的最有效策略.
结论:
- 模拟和过程挖掘是医疗保健中数据驱动决策的有效工具,可以减少浪费和成本.
- 两个场景显示出显著的潜力:为患者转诊提供专职人员,并建立一个专门的出院大厅.
- 实施这些解决方案可以带来更有利和更有效的紧急部门运营环境.
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