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优化急诊室患者通过床位分配策略的流动:一个离散事件模拟研究

Sen-Tian Wang¹, Shao-Jen Weng², Ting-Yu Yeh²

¹Chang Bing Show-Chwan Memorial Hospital, Changhua, Taiwan.

Inquiry : a journal of medical care organization, provision and financing

|April 29, 2025

概括

实施结合床位优化和共享策略可显著减少急诊室 (ED) 长时间停留 (LOS),而不会增加护理工作量. 这种方法提高了医院的患者流量和资源管理.

科学领域:

医疗保健管理的管理
医院运营研究医院运营研究
优化患者流量优化

背景情况:

急诊室 (ED) 过度拥挤和长时间停留 (LOS) 是医疗保健系统的持续挑战.
有效的资源利用和患者流量管理对于医院的效率至关重要.

研究的目的:

将四种不同的床位分配策略进行比较,以优化区域性教学医院的患者流动和资源利用.
确定减少长期ED LOS和改善医院运营的最有效策略.

主要方法:

使用一年的医院数据 (29,718次ED访问) 开发一个离散事件模拟模型.
评估了四种策略:部门内部的床位共享,优化床位分配,跨部门的床位贷款以及与床位借款相结合的优化.
使用t测试对实际医院数据进行模拟模型的验证.

主要成果:

所有评估的战略都显示出与当前运营相比的改善.
策略4 (与床借贷相结合的优化) 是最有效的,保持稳定的ED护理利用率 (45.65%) 并显著减少延长的LOS.
超过6小时,12小时和24小时的ED LOS率分别降至2.48%,0.38%和0.12%.

结论:

战略性的床位分配与受控的床位共享政策相结合,可以在不增加护理工作量的情况下大幅减少扩展ED LOS (高达30%).
最佳策略 (策略4) 通过将优化与资源共享相结合,有效地管理ED患者流量,从而改善患者结果和运营效率.

关键词:

床位分配床位分配在床上共享床.紧急情况部门的急救部门.停留时间的长度.模拟模拟是指一个模拟模拟.

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