Using simulation modeling to improve patient flow at an outpatient orthopedic clinic

Using simulation modeling to improve patient flow at an outpatient orthopedic clinic
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DOI:
10.1007/s10729-010-9145-4
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发表时间:
2011-06-01
影响因子:
3.6
通讯作者:
Hendijani, Rosa
Hendijani, Rosa
中科院分区:
医学2区
文献类型:
--
作者:
Rohleder, Thomas R.;Lewkonia, Peter;Hendijani, Rosa

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我们报告使用离散事件仿真建模,以支持在骨科门诊诊所的流程改进。该诊所在治疗病人方面是有效的,但等待时间和拥挤的诊所造成病人不满和工作人员的士气问题。该模型有助于确定改进方案,包括优化人员配备水平,更好的病人调度,并强调工作人员及时到达。建模的定量结果为实施改进提供了动力。对实施前后的数据进行的统计分析表明,等候时间措施得到了显著改善,病人在诊所的总时间减少了。
We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced.