基于离散事件模拟的分析和优化紧急患者调度策略
Wei Lv1, Runzhang Liu1, Feiyi Yan1
1School of Economics and Management, Nanjing Tech University, Nanjing 210009, China.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
一项新的Slack-Based动态策略显著减少了急诊室等待时间的23.8%,改善了患者流动和满足服务目标. 这种智能调度解决方案在健康4.0时代增强了医院管理.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 医疗信息学 医疗信息学
背景情况:
- 在健康4.0时代,急救部门 (ED) 面临着拥挤和复杂性的挑战.
- 智能管理解决方案对于在EDS中平衡效率和公平护理至关重要.
- 有效的患者安排是优化吞吐量和减少拥堵的关键.
研究的目的:
- 评估紧急服务部门的三种患者安排策略.
- 使用离散事件模拟 (DES) 开发一个决策支持框架.
- 为EDS确定一个最佳的动态调度策略.
主要方法:
- 开发了一个离散事件模拟 (DES) 框架.
- 评估了三个调度策略:初始优先,交替1:1和基于slack的动态策略.
- 使用了标准化的ED操作数据集,通过网格搜索优化了SBP值.
主要成果:
- 优化的Slack-Based动态策略使平均等待时间减少了大约23.8%.
- 通过优化的SBP政策,所有分拣服务级别目标都得到了满足.
- 基于Slack的动态政策在不同的到达率和医生人员配置水平上表现出强性.
结论:
- 拟议的模型为ED资源分配提供了实时,动态的解决方案.
- 这种方法支持现代智能医院管理需求.
- 优化日程安排提高ED效率和患者护理服务.
相关概念视频
Manipulation and Analysis
282
GIS manipulation and analysis functions are vital for decision-making and planning. These activities range from data retrieval tasks, such as selecting information based on specific criteria, to advanced analytical techniques that address complex spatial problems.One critical GIS analysis method is overlaying, which combines multiple data layers to examine impacts. For example, overlaying a river-dammed lake boundary with road networks can identify affected infrastructure. Another common...
282
Analysis of Population Pharmacokinetic Data
669
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
669
Methods of Documentation VI: Case Management Model
847
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
847
Steps in Outbreak Investigation
481
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
481
Introduction To Survival Analysis
735
Survival analysis is a statistical method used to study time-to-event data, where the "event" might represent outcomes like death, disease relapse, system failure, or recovery. A unique feature of survival data is censoring, which occurs when the event of interest has not been observed for some individuals during the study period. This requires specialized techniques to handle incomplete data effectively.
The primary goal of survival analysis is to estimate survival time—the time...
The primary goal of survival analysis is to estimate survival time—the time...
735
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K


