Development of Medical Task Classification for Job Scheduling
Development of Medical Task Classification for Job Scheduling
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用于工作调度的医疗任务分类的开发
DOI：
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发表时间：
2005
影响因子：
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通讯作者：
Atsue Ishii
中科院分区：
文献类型：
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作者：
M. Yokouchi;Y. Ohno;S. Kasahara;H. Numasaki;Atsue Ishii
为了在有限的财力和人力资源条件下确保医疗服务的安全性和可靠性，开发一种量化方法对医务人员提供的每项医疗任务进行充分的调度是很重要的。本文从作业调度的角度开发了一套医务人员任务分类系统，并将其应用于实际的临床护理时移研究数据中。通过对某外科病房3名训练有素的护士的访谈数据，通过民族医学词汇挖掘提取出4个排序点：[不可缺少]、[期望]、[手术劳动力]和[时间依赖]。从这个角度分析了一名护士白天在外科病房工作的时间-运动研究数据；这名护士负责5名病人，其中包括1名预定手术的病人。结果表明：(1)几乎所有与主要需求相关的任务(例如，将病人转移到手术室)都具有较高的可分配性和期望值，且具有时间依赖性；(2)完成任务所需的时间较多(例如，将病人运送到手术室所需的时间)，或者是时间依赖性较低的选择性执行的工作；(3)需要接听护士电话或电话，被归类为时间依赖性较高的任务。在分析中，一些作业是按照与调度分类相反的低效顺序排列的。该分类与临床护理服务调度决策具有较好的一致性，较好地解释了护士S值班的方式。
To assure security and reliability for medical services under the conditions of limited financial and human-resources, it is important to develop a quantitative method for adequate scheduling of each medical task provided by medical staff. In this paper, we developed a task classification system for medical staff from the view-point of job scheduling and applied it to actual clinical nursing time ― motion study data. Based on the interview data from the three trained nurses working in a surgical ward, four scheduling points were drawn by ethnometh-odological word mining ; ［ indispensability ］ , ［ expectation ］ , ［ laborforce for operation ］ , and ［ time dependency ］ . The time ― motion study data of one nurse working in a surgical ward during the daytime was analyzed from this point of view ; the nurse was in charge of five patients including one patient scheduled for surgery. The results were : （ 1 ） Almost all tasks related to major demand （ e.g.,, transfer of patient to the operating room ） with high in-dispensability and expectation, and time dependency ; （ 2 ） Required much time to complete the task （ e.g., time required to transport the patient to the operating room ） , or were jobs with low time dependency that were selectively carried out ; （ 3 ） Required answering a nurse-call or telephone, which was classified into a task with high time dependency. In the analysis, some jobs were arranged in the order of inefficiency, contrary to the scheduling classification. The classification showed good consistency with the clinical decisions on scheduling nursing services, and the results explained well the way of scheduling nurse ’ s duties.