Capacity planning for intensive care units

Capacity planning for intensive care units
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DOI:
10.1016/s0377-2217(97)00240-3
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发表时间:
1998-03-01
影响因子:
6.4
通讯作者:
Shahani, AK
Shahani, AK
中科院分区:
管理学2区
文献类型:
--
作者:
Ridge, JC;Jones, SK;Shahani, AK

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在本文中,我们描述了一个模拟模型的病床容量规划在重症监护。该模型表明,有一个非线性关系的病床数量,平均占用水平和病人的数量,必须转移,由于缺乏床位空间。此外,在床位占用率和转移次数之间存在着严重的权衡。该模型采用了一个基本的延期规则,为择期患者入院时,通过缺乏床位被阻止,从这一点上,我们得出结论,有一个更有效的择期患者入院调度系统的范围。由于这项工作,一个多学科密集卡尔建模工作组已经成立,以指导一个更复杂的模型的发展。(C)1998年Elsevier Science B.V.
In this paper we describe a simulation model for bed capacity planning in Intensive Care. The model shows that there is a non-linear relationship between numbers of beds, mean occupancy level and the numbers of patients that have to be transferred through lack of bed space. Furthermore, there is a heavy trade off between bed occupancy and the number of transfers. The model employs a rudimentary deferral rule for the elective patients when their admission is blocked through lack of bed space; from this we conclude that there is scope for a more effective elective patient admission scheduling system. As a result of this work, a multi-disciplinary Intensive Carl Modelling Task Group has been set up to guide the development of a more sophisticated model. (C) 1998 Elsevier Science B.V.