荷兰新生儿网络中NICU护士的组织间聚合:一个模拟优化研究
Gréanne Leeftink1, Kimberley Morris2, Tim Antonius3
1Center of Healthcare Operations Improvement and Research (CHOIR), University of Twente, PO Box 217, Enschede, 7500AE, The Netherlands. a.g.leeftink@utwente.nl.
Health care management science
|February 6, 2025
概括
新生儿重症监护室 (NICU) 的容量挑战可以通过灵活的护士部署来减少. 运输人员而不是早产婴儿可以通过网络协作消除高达70%的患者运输.
科学领域:
- 医疗保健管理的管理
- 儿科 儿科 儿科
- 物流物流物流物流物流是什么
背景情况:
- 新生儿重症监护病房 (NICU) 面临着容量挑战,导致患者运输率高.
- 目前NICU的高职业水平对护理质量,患者安全和家庭负担产生负面影响.
- 对于新生儿而言,现有的运输协议往往是不理想和低效的.
研究的目的:
- 评估网络协作策略在减少新生儿患者运输方面的潜力.
- 调查跨NICU灵活部署护士的影响,以管理需求波动.
- 在全国网络中,优化为早产和重症婴儿提供护理.
主要方法:
- 开发一个离散事件模拟模型.
- 集成一个优化模块,用于轮班分配和转移优化.
- 荷兰国家NICU网络 (9个地点) 的案例研究分析.
主要成果:
- 灵活的容量共享可以消除大约70%的患者运输,共享15-50%.
- 即使在一个主要大都市区的容量共享率高达15%,也可以消除大约35%的全国运输.
- 运输人员而不是患者显示出提高NICU网络效率的巨大潜力.
结论:
- 网络协作和灵活的员工部署是缓解NICU能力挑战的有效策略.
- 实施这些策略可以显著减少对中心间新生儿运输的需求.
- 优化资源配置可以提高对脆弱新生儿的护理质量,安全性和效率.
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