Improving chemotherapy infusion operations through the simulation of scheduling heuristics: a case study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2020-02-02 eCollection Date: 2021-01-01 DOI:10.1080/20476965.2019.1709908

Ryan F Slocum, Herbert L Jones, Matthew T Fletcher, Brandon M McConnell, Thom J Hodgson, Javad Taheri, James R Wilson

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引用次数: 0

Abstract

Over the last decade, chemotherapy treatments have dramatically shifted to outpatient services such that nearly 90% of all infusions are now administered outpatient. This shift has challenged oncology clinics to make chemotherapy treatment as widely available as possible while attempting to treat all patients within a fixed period of time. Historical data from a Veterans Affairs chemotherapy clinic in the United States and staff input informed a discrete event simulation model of the clinic. The case study examines the impact of altering the current schedule, where all patients arrive at 8:00 AM, to a schedule that assigns patients to two or three different appointment times based on the expected length of their chemotherapy infusion. The results identify multiple scheduling policies that could be easily implemented with the best solutions reducing both average patient waiting time and average nurse overtime requirements.

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通过模拟调度启发式方法改进化疗输液操作：案例研究。

在过去十年中，化疗治疗已大幅转向门诊服务，目前近 90% 的输液都是在门诊进行的。这种转变对肿瘤诊所提出了挑战，要求他们在尽可能广泛提供化疗服务的同时，努力在固定时间内治疗所有患者。美国一家退伍军人事务化疗诊所的历史数据和员工意见为该诊所的离散事件模拟模型提供了参考。该案例研究探讨了将目前所有患者都在早上 8:00 到诊的时间安排改为根据化疗输液的预期时间长短将患者分配到两到三个不同预约时间的时间安排所产生的影响。研究结果确定了多种可轻松实施的排班政策，其中最佳解决方案可减少患者的平均等待时间和护士的平均加班时间。

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.