突发事件下手术室应急优化调度
|
摘要
突发事件的发生会为医院手术室的运作管理带来很大的冲击,如大量急诊手术需求的激增、原定择期手术的推迟、特定医护资源的紧缺等.在常规手术室排程优化问题基础上进一步考虑突发事件特点,同时协调优化择期手术和急诊手术,以各类病人当量等待时间最短、关键资源利用率最高和同质资源利用率均衡为多目标决策,构建优化调度数学模型.设计若干算例验证优化效果,实验结果表明,在保证急诊手术优先的原则下,手术室优化调度提高急诊关键手术资源的利用率,而且均衡各资源的工作时间和工作量,对实际医院在突发事件下的运作调度提供参考.
Emergency usually can have a great impact on the operation management of operating rooms(OR) in hospital, such as the sudden surge in emergency surgery demands、 the postponement of scheduled elective surgeries、 the shortage of specific healthcare resources etc. Based on the elective surgery scheduling optimization and further considered the characteristics of emergency, an OR scheduling optimization model under emergency is proposed to coordinate the elective surgery and emergency surgery and using, the shortest comprehensive patients waiting time、 the highest critical resource utilization and the balanced resource utilization of homogenous resources as the multi-objectives, a mathematical model for scheduling optimization. Several test cases are designed to verify the optimization result. The results show that the multi-objective under the principle of ensuring emergency surgery priority, OR scheduling optimization can improves the utilization of critical surgical resources, balance the working hours and each resource workload, and provide reference for the actual OR operation management of the hospital under emergency.
Emergency usually can have a great impact on the operation management of operating rooms(OR) in hospital, such as the sudden surge in emergency surgery demands、 the postponement of scheduled elective surgeries、 the shortage of specific healthcare resources etc. Based on the elective surgery scheduling optimization and further considered the characteristics of emergency, an OR scheduling optimization model under emergency is proposed to coordinate the elective surgery and emergency surgery and using, the shortest comprehensive patients waiting time、 the highest critical resource utilization and the balanced resource utilization of homogenous resources as the multi-objectives, a mathematical model for scheduling optimization. Several test cases are designed to verify the optimization result. The results show that the multi-objective under the principle of ensuring emergency surgery priority, OR scheduling optimization can improves the utilization of critical surgical resources, balance the working hours and each resource workload, and provide reference for the actual OR operation management of the hospital under emergency.
引文
[1]杜少甫,谢金贵,刘作仪.医疗运作管理:新兴研究热点及其进展[J].管理科学学报,2013, 16(8):1-19.
[2]白雪,罗利,李蓉梅.医院管理中手术排程研究现状及发展前景[J].管理评论2011,23(1):121-128.
[3] Cardoen, B, Demeulemeester E,&Belien, J Operating room planning and scheduling:a literature review[J]. European Journal of Operational Research, 2010, 201(1):921-932.
[4]程明宝.医院手术室系统调度研究现状评述及展望[J].中国医院管理,2014, 34(12):20-22.
[5] Arnaout J P. Heuristics for the maximization of operating rooms utilization using simulation[J].Simulation, 2010, 86(8-9):573-583.
[6]舒文,罗利.基于目标规划的外科手术排程研究[J].技术与市场,2008(2):42-44.
[7] Adanabcde I. Improving operational effectiveness of tactical master plans for emergency and elective patients under stochastic demand and capacitated resources[J]. European Journal of Operational Research, 2011, 213(1):290-308.
[8]李惠,蒋大奎.基于单亲遗传禁忌搜索算法的手术排程问题研究[J].计算机应用研究,2013, 30(1):699-702.
[9] Roland B, Martinelly C D, Riane F, et al. Scheduling an operating theatre under human resource constraints[J]. Computers&Industrial Engineering, 2010, 58(2):212-220.
[10] Gul M, Guneri A F. A comprehensive review of emergency department simulation applications for normal and disaster conditions[J]. Computers&Industrial Engineering, 2015, 83(3):327-344.
[11] Aboueljinane L, Sahin E, Jemai Z. A review on simulation models applied to emergency medical service operations[J]. Computers&Industrial Engineering, 2013, 66(2):734-750.
[12] Rico F, Salari E, Centeno G. Emergency departments nurse allocation to face a pandemic influenza outbreak[C]//Simulation Conference. IEEE, 2007:1292-1298.
[13] Galindo G, Batta R. Review of recent developments in OR/MS research in disaster operations management[J]. European Journal of Operational Research, 2013, 230(2):201-211.
[14] Wilson D T, Hawe G I, Coates G, et al. A multi-objective combinatorial model of casualty processingin major incident response[J]. European Journal of Operational Research, 2013, 230(1):643-655.
[15] Wei X. A multi-objective ACO for operating room scheduling optimization[J]. Natural Computing,2017, 16(2):1-11.
[2]白雪,罗利,李蓉梅.医院管理中手术排程研究现状及发展前景[J].管理评论2011,23(1):121-128.
[3] Cardoen, B, Demeulemeester E,&Belien, J Operating room planning and scheduling:a literature review[J]. European Journal of Operational Research, 2010, 201(1):921-932.
[4]程明宝.医院手术室系统调度研究现状评述及展望[J].中国医院管理,2014, 34(12):20-22.
[5] Arnaout J P. Heuristics for the maximization of operating rooms utilization using simulation[J].Simulation, 2010, 86(8-9):573-583.
[6]舒文,罗利.基于目标规划的外科手术排程研究[J].技术与市场,2008(2):42-44.
[7] Adanabcde I. Improving operational effectiveness of tactical master plans for emergency and elective patients under stochastic demand and capacitated resources[J]. European Journal of Operational Research, 2011, 213(1):290-308.
[8]李惠,蒋大奎.基于单亲遗传禁忌搜索算法的手术排程问题研究[J].计算机应用研究,2013, 30(1):699-702.
[9] Roland B, Martinelly C D, Riane F, et al. Scheduling an operating theatre under human resource constraints[J]. Computers&Industrial Engineering, 2010, 58(2):212-220.
[10] Gul M, Guneri A F. A comprehensive review of emergency department simulation applications for normal and disaster conditions[J]. Computers&Industrial Engineering, 2015, 83(3):327-344.
[11] Aboueljinane L, Sahin E, Jemai Z. A review on simulation models applied to emergency medical service operations[J]. Computers&Industrial Engineering, 2013, 66(2):734-750.
[12] Rico F, Salari E, Centeno G. Emergency departments nurse allocation to face a pandemic influenza outbreak[C]//Simulation Conference. IEEE, 2007:1292-1298.
[13] Galindo G, Batta R. Review of recent developments in OR/MS research in disaster operations management[J]. European Journal of Operational Research, 2013, 230(2):201-211.
[14] Wilson D T, Hawe G I, Coates G, et al. A multi-objective combinatorial model of casualty processingin major incident response[J]. European Journal of Operational Research, 2013, 230(1):643-655.
[15] Wei X. A multi-objective ACO for operating room scheduling optimization[J]. Natural Computing,2017, 16(2):1-11.