کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6897385 | 1446023 | 2014 | 11 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Mass-casualty triage: Distribution of victims to multiple hospitals using the SAVE model
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کلمات کلیدی
موضوعات مرتبط
مهندسی و علوم پایه
مهندسی کامپیوتر
علوم کامپیوتر (عمومی)
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چکیده انگلیسی
During a mass casualty incident (MCI), to which one of several area hospitals should each victim be sent? These decisions depend on resource availability (both transport and care) and the survival probabilities of patients. This paper focuses on the critical time period immediately following the onset of an MCI and is concerned with how to effectively evacuate victims to the different area hospitals in order to provide the greatest good to the greatest number of patients while not overwhelming any single hospital. This resource-constrained triage problem is formulated as a mixed-integer program, which we call the Severity-Adjusted Victim Evacuation (SAVE) model. It is compared with a model in the extant literature and also against several current policies commonly used by the so-called incident commander. The experiments indicate that the SAVE model provides a marked improvement over the commonly used ad-hoc policies and an existing model. Two possible implementation strategies are discussed along with managerial conclusions.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Operational Research - Volume 238, Issue 1, 1 October 2014, Pages 363-373
Journal: European Journal of Operational Research - Volume 238, Issue 1, 1 October 2014, Pages 363-373
نویسندگان
Matthew D. Dean, Suresh K. Nair,