کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
492478 721585 2014 13 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Discrete event simulation case study: Diagnostic path for stroke patients in a stroke unit
ترجمه فارسی عنوان
مورد مطالعه شبیه سازی رویداد گسسته: مسیر تشخیصی برای بیماران سکته مغزی در یک واحد سکته مغزی
کلمات کلیدی
بیمار سکته مغزی مسیر بیمار، منابع آزمون شبیه سازی رویداد گسسته
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر علوم کامپیوتر (عمومی)
چکیده انگلیسی


• We model the diagnostic path for stroke patients in a stroke unit.
• We evaluate the impact of patient test trajectory of waiting times.
• Discrete event simulations help gain insights on impact of operational changes.

Hospitals aim at delivering efficient and effective healthcare. This requires high quality medical care, provided by highly trained and motivated professionals. Also the way operations are organized can contribute to a smoother healthcare delivery. An important point here is patient flow and waiting times during the patient trajectory diagnosis-therapy-care. Due to the large variability that exist between patients care needs, even for patients with a similar pathology, predicting the waiting times is very challenging. Traditional analytical optimization models like queuing theory cannot cope with the complexity of the pathways followed by patients and the interrelationships between the resources they need. Discrete event simulation can help to provide insight into the impact of operational changes, e.g. concerning available scanner capacity, on the timing of the patient’s trajectory in a hospital unit.This paper focuses on the diagnostic part of the stay of stroke patients in a stroke unit of a university hospital. With the help of discrete event simulation this patient flow is analyzed and the impact of potential changes in the capacity profile of test resources is investigated. The paper describes the steps taken in the study and the challenges met. The structure of the simulation program is explained and the results of the scenario analysis are discussed. The paper starts with a brief exploration of the use of discrete event simulation in healthcare and ends with general observations on the subject.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Simulation Modelling Practice and Theory - Volume 48, November 2014, Pages 45–57
نویسندگان
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