紧急部门优先级政策的透明比较:整合尾部风险,目标实现和效用分析
Adam DeHollander1, Mark Karwan1, Sabrina Casucci1
1Department of Industrial and Systems Engineering, University at Buffalo, Buffalo, New York, United States of America.
PloS one
|December 31, 2025
概括
这项研究引入了评估急诊室 (ED) 患者优先级政策的新框架,提供了更清晰,多方面的比较,超出了简单的平均值,以更好地与医院目标保持一致.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 运营研究 运营研究
- 医疗信息学 医疗信息学
背景情况:
- 传统的对应急部门 (ED) 患者优先级规则的比较通常依赖于单个平均值.
- 这种方法可以掩盖不同政策固有的关键临床权衡.
研究的目的:
- 介绍和演示一种新的三部分评估框架,用于对ED患者优先级政策的多方面的比较.
- 通过揭示单一平均指标隐藏的权衡来促进更清晰的决策.
主要方法:
- 开发了一个三部分的评估框架,包括极端结果的统计数据,时间目标实现配置文件和利益相关者优先级分析.
- 应用框架使用30个床位混合急症急诊室的统一离散事件模拟.
主要成果:
- 展示了关于优先级政策的结论如何可以根据评估视角 (极端结果,时间目标,利益相关者优先级) 显著变化.
- 说明了框架能够揭示关键的补充信息,使政策与当地目标和风险承受能力相匹配.
结论:
- 拟议的框架为评估ED优先级政策提供了一种一致和可重复的方法.
- 未来的工作应该涉及将该框架应用到特定地点的医院数据和利益相关者的投入中,以便实际实施.
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