Business process re-engineering in healthcare management: a case study
Business process re-engineering in healthcare management: a case study
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DOI：
10.1108/14637151111105571
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发表时间：
2011-01-01
影响因子：
4.1
通讯作者：
Giacchetta, G.
中科院分区：
文献类型：
--
作者：
Bertolini, Massimo;Bevilacqua, M.;Giacchetta, G.
目的-本文的目的是进行业务流程再造（BPR）的外科病房在hospital.Design/方法/方式，以提高效率的病房-这项工作是使用一个案例研究的外科病房。在这种类型的病房中，计划和非计划的操作往往必须共存和管理，需要研究如何最大限度地减少患者的不便。提出了一种基于事件驱动过程链（EPC）方法、实体关系模型和离散事件仿真的框架，用于定义和分析外科病房的当前状态并设计未来系统。建模的过程，活动和子活动，占用了大量的病房资源，允许一个什么，如果分析开发模拟各种情况下，并评估其performance.Findings -使用德尔菲方法，它是可能的，以确定一些领域的改进：数量的操作会话，准备的手术室为每个操作，可用性的具体手术器械。此外，离散事件模拟方法导致了最有效的管理选择的理解。独创性/价值-决定使用德尔菲方法的信息收集阶段，然后开始的BPR过程中没有发现在其他研究文献中。此外，使用基于EPCs方法的模型使专家小组能够开发模型，以检查和了解医疗评估单位的资源需求，并提供医院开发人员和临床管理人员可以参考的框架或制定标准。
Purpose - The purpose of this paper is to carry out the business process re-engineering (BPR) of a surgical ward in a hospital in order to improve the efficiency of the ward.Design/methodology/approach - This work was developed using a case study on a surgical ward. In this type of ward, in which scheduled and unscheduled operations often have to coexist and be managed, ways to minimise patient inconvenience need to be studied. A framework based on event-driven process chains (EPCs) methodology, the entity-relationship model and discrete event simulation is presented to define and analyse the current state of a surgical ward and design a future system. The modelling of the processes, activities and sub-activities, which took up a great amount of ward resources, allowed a what-if analysis to be developed which simulates various scenarios and assesses their performance.Findings - Using Delphi methodology, it was possible to identify a number of areas for improvement: number of operating sessions, preparation of the operating rooms for each operation, availability of specific surgical instruments. Moreover, the discrete event simulation approach led to an understanding of the most efficient management choices.Originality/value - The decision to use Delphi methodology for the information collection stage before starting the BPR process is not found in other studies in the literature. Moreover, the use of models based on EPCs methodology allowed the panel of experts to develop models to examine and understand the resource requirements of medical assessment units and to provide a framework or develop standards that hospital developers and clinical managers can consult.