Improving emergency department resource planning: a multiple case study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2019-11-03 eCollection Date: 2020-01-01 DOI:10.1080/20476965.2019.1680260

Daniel Bouzon Nagem Assad, Thaís Spiegel

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引用次数: 9

Abstract

Sizing and allocating health-care professionals are a critical problem in the management of emergency departments (EDs) managed by a public company in Rio de Janeiro (Brazil). An efficient ED configuration that is cost and time effective must be developed by this company for hospital managers. In this paper, the problem of health-care professional configurations in EDs is modelled to minimise the total labour cost while satisfying patient queues and waiting times as defined by the actual ED capacity and current clinical protocols. To solve this issue, mixed integer linear programming (MILP) that allocates health-care professionals and specifies the amount of professionals who must be hired is proposed. To consider the uncertainties in this environment and evaluate their impacts, a discrete-event simulation model is developed to reflect patient flow. An optimisation and simulation approach is used to search for efficiency leads for different ED configurations. These configurations change depending on the shift and the day of the week.

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改进急诊科资源规划:一个多案例研究。

在里约热内卢(巴西)一家上市公司管理的急诊科管理中，保健专业人员的规模和分配是一个关键问题。该公司必须为医院管理人员开发一种具有成本和时间效益的高效ED配置。本文对急诊科的医疗专业人员配置问题进行了建模，以最大限度地降低总人工成本，同时满足由实际急诊科容量和当前临床协议定义的患者排队和等待时间。为了解决这一问题，建议使用混合整数线性规划(MILP)来分配医疗保健专业人员并指定必须雇用的专业人员数量。为了考虑这种环境中的不确定性并评估其影响，建立了一个离散事件模拟模型来反映病人的流动。采用优化和仿真的方法来搜索不同ED配置的效率线索。这些配置根据班次和星期几而变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.