同济医院门诊检验科资源配置优化研究
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摘要
美国的次贷危机波及到了全球,对中国经济不可避免的产生了影响,但也使人们的健康意识发生了改变,使得人对健康的关注度越来越高,这样就使得到医院进行就医和预防的人越来越多,从而使得医院的基础建设在规划上产生了滞后,本文尝试着利用Arena软件来仿真模拟现有的检验科的环境及工作流程,找出其存在的不足,并提出改进的措施,为医院未来的发展建设服务。
遵循这一思路,在本论文从选题的目的和意义为出发点,同时给出了利用仿真模拟来解决医院工作流程的国内外现状。为了能更好的为建模作准备,我对检验科的现状做了分析和介绍。将建模所需的参数都一一介绍。准备工作做好后,应用Arena软件模拟出检验科现有的工作模型。结合实际的参数来通过软件演绎现有的工作流程,找出其不合理的关键,同时和现实进行比对,完善工作模型的构建。确保模型的准确性,以此为通过模拟,找出工作中存在的不足,或可能存在的不足。然后调整参数来改变工作流程,从而达到优化流程的目的,再利用这一优化流程后的模型来指导实际工作中检验科的工作调整,让检验科的资源配置合理化,从而更好的为医院为社会服务。本论文的研究旨在找到一种思绪:利用这种仿真模拟的方法来对医院的各科室的建设起指导作用,从而逐步使医院的各环节达到最优化,进而使得医院得到长足稳健的发展。
With the financial storm speeding by the all globe, China can’t get away from it, but it let the people change and make the people pay attention to care the health. The more the people care the health, the more the people come into the hospital to check the body for preventing the disease. the people come into the hospital so fast that the equipment of the hospital serving for the people who come into hospital to have a check can’t fit for the increase of the people. The idea of this paper is that by using the software of Arena, simulate the real work flow, and then find the disadvantage. At last, we will give the best plan to solve the problem and make our laboratory develop healthy.
Base on this ideal, I indicate the purpose and signification of the paper firstly, at the same time, I interpret the condition: using the software of Arena, we solve the problem about work flow of the hospital. I introduce and analyze the real condition of laboratory for us to easily establish the model. Then, simulating the work flow of the medicine department laboratory by using the Arena, I get the important step which prevents the work flow going smoothly. By comparing the condition of the simulation model with that of reality, I research for a model which it is very matches for the reality. it is undoubted that the model is veracity by this match, which is the base for us to simulate the model by what we change our work flow. And then, by simulating the model which is same as the reality in the Arena, I find the insufficiency or the possible insufficiency in the future. Then, I will change some parameters in the Arena to find the best model for the laboratory. When I get the optimization work-flow model, I can change the real laboratory work flow and make our laboratory better to serve for the people. Finally, I hope in the future we can use the Arena to simulate the work flow of all the laboratories of the hospital, find the optimization model of each laboratory. When we optimize all laboratories, I believe that our hospital will develop steadily and healthy.
遵循这一思路,在本论文从选题的目的和意义为出发点,同时给出了利用仿真模拟来解决医院工作流程的国内外现状。为了能更好的为建模作准备,我对检验科的现状做了分析和介绍。将建模所需的参数都一一介绍。准备工作做好后,应用Arena软件模拟出检验科现有的工作模型。结合实际的参数来通过软件演绎现有的工作流程,找出其不合理的关键,同时和现实进行比对,完善工作模型的构建。确保模型的准确性,以此为通过模拟,找出工作中存在的不足,或可能存在的不足。然后调整参数来改变工作流程,从而达到优化流程的目的,再利用这一优化流程后的模型来指导实际工作中检验科的工作调整,让检验科的资源配置合理化,从而更好的为医院为社会服务。本论文的研究旨在找到一种思绪:利用这种仿真模拟的方法来对医院的各科室的建设起指导作用,从而逐步使医院的各环节达到最优化,进而使得医院得到长足稳健的发展。
With the financial storm speeding by the all globe, China can’t get away from it, but it let the people change and make the people pay attention to care the health. The more the people care the health, the more the people come into the hospital to check the body for preventing the disease. the people come into the hospital so fast that the equipment of the hospital serving for the people who come into hospital to have a check can’t fit for the increase of the people. The idea of this paper is that by using the software of Arena, simulate the real work flow, and then find the disadvantage. At last, we will give the best plan to solve the problem and make our laboratory develop healthy.
Base on this ideal, I indicate the purpose and signification of the paper firstly, at the same time, I interpret the condition: using the software of Arena, we solve the problem about work flow of the hospital. I introduce and analyze the real condition of laboratory for us to easily establish the model. Then, simulating the work flow of the medicine department laboratory by using the Arena, I get the important step which prevents the work flow going smoothly. By comparing the condition of the simulation model with that of reality, I research for a model which it is very matches for the reality. it is undoubted that the model is veracity by this match, which is the base for us to simulate the model by what we change our work flow. And then, by simulating the model which is same as the reality in the Arena, I find the insufficiency or the possible insufficiency in the future. Then, I will change some parameters in the Arena to find the best model for the laboratory. When I get the optimization work-flow model, I can change the real laboratory work flow and make our laboratory better to serve for the people. Finally, I hope in the future we can use the Arena to simulate the work flow of all the laboratories of the hospital, find the optimization model of each laboratory. When we optimize all laboratories, I believe that our hospital will develop steadily and healthy.
引文
[1] N·格里高利·曼昆.宏观经济学.北京:中国人民大学出版社,2006.
[2] http://www.cnas.org.cn/col771/col774/col780/index.htm1?colid=780
[3]王宝玉,朱茸茸,包敏敏,吴敏建.利用品牌无形资产拓展保持竞争优势.中医药管理杂志, 2009, (3):216-217
[4]刘松鹤.信息网络化建设在医院管理中的作用及现状分析.河北医学, 2009, (1):117-119
[5]杨米沙.银行排队系统数据分析及窗口设置优化研究.武汉理工大学学报(信息与管理工程版) , 2008, (4):624-627
[6]陈学顺.论我国大医院的适度规模发展.中国医院, 2008, (1):19-21
[7]黄忠、刘芳,再谈建设项目管理模式的创新.工程项目管理,2003,(6):12-16
[8]杨大干,郭希超,徐根云,陈瑜.叫号排队系统在检验抽血中的应用.中国医疗器械杂志, 2008, (2):139-141
[9]邹尚辉.城市人口的遥感估算方法.遥感学报, 1991, (3):24-26
[10] Shen Q., Leitch R. Fuzzy Qualitative Simulation[J]. IEEE Transactions on Systems, Man and Cybernetics. 1993, 23(4):1038-1061.
[11] Nissen M. E. Qualitative Simulation of Organizational Microprocesses[C]. in: J. Nuna. Maker J, R. Sprague J(eds.). Proceedings of the 27th Annual Hawaii International Conference on System Sciences. 1994:635-644.
[12] Berends P., Romme G. Simulation as a Research Tool in Management Studies[J]. European Management Journal. 1999, 17(6):576-583.
[13]胡斌,董升平.企业管理者自我效能感的定性模拟[J].系统工程,2005, 23(8):12-19.
[14]胡斌,董升平.人群工作行为定性模拟方法[J].管理科学学报,2005,(2):77-85.
[15]胡斌,夏功成.群体行为集成化知识描述与定性模拟研究[J].中国管理科学,2004,(1):156-159.
[16] Shengping D., Bin H. Upgraded cellular automata based group-work interaction simulation[C]. in: Proceedings of 2007 Winter Simulation Conference. Washington, D.C., USA: 2007:1207-1215.
[17] Carley K. M. Computational and Mathematical Organization Theory: Perspective and Direction[J]. Computational and Mathematical Organization Theory. 1995, 1(1):39-56.
[18] Deloach S. A., Matson E. An Organizational Model for Designing Adaptive Multiagent Systems[C]. in The AAAI-04 Workshop on Agent Organizations: Theory and Practice. San Jose, California,2004.
[19]王东锋,陈英武.模糊定性建模与仿真集成实现[J].系统工程理论与实践. 2002, 22(3):119-124.
[20]胡斌,董升平.企业管理者自我效能感的定性模拟[J].系统工程. 2005, 23(8):12-19.
[21] Platzner M., Rinner B., Weiss R. Parallel qualitative simulation[J]. Simulation Practice and Theory. 1997, 5(7-8):623-638.
[22]赵会平,潘刚,徐心和.并行仿真技术综述[J].计算机仿真,2003, 20(11): 1-5,123.
[23] Geo rge M. Giaglis, Ray J. Paul, Vlatka Hlupic, Integrating simulation in organizational design studies, International Journal of Information Management 1999,(19):219-236.
[24] Say A. C., Ak H. L. Sound and complete qualitative simulation is impossible[J]. Artificial Intelligence. 2003, 149(2):251-266.
[25]冷平,凌攀,姚安延. Sysmex XE-2100全自动血液分析仪的性能评价.四川省卫生管理干部学院学报, 2008, (2):108-109
[26]陈辉,伍勇,戴春梅.对UF-100尿沉渣全自动分析仪复查标准的初步探讨.实用临床医学, 2006, (3) :39-40
[27]陈旭,武振业.新一代可视化交互集成仿真环境Arena[J].计算机应用研究, 2000, (1) :9-15
[28]宣慧玉,高宝俊.一个基于离散事件仿真的Multi—Agent经济仿真模型[J].信息与控制, 2002, 31(1),:84-88.
[29] Hazy J. K., Tivnan B. F. On Building an Organizationally Realistic Agent-Based Model of Local Interaction and Emergent Network Structure[C]. in: Proceedings of the 2004 Winter Simulation Conference. 2004.
[30]潘燕春,周泓,冯允成.基于Arena的车间作业排序问题建模方法及其仿真优化系统设计.计算机集成制造系统, 2006, (3) :389-394
[31]钱芝网, VMI模式下基于Arena的最优订货点仿真.工业工程与管理, 2009, (2) :21-26
[32]杨荣华.高速公路建设项目集成化管理模式及关键技术研究.长沙理工大学硕士论文,2005
[33]李艳丽.公路工程造价管理中的问题及对策[J].公路与汽运,2005,(4):159-160
[34]姜琳.基于复杂性思想的大型工程建设项目集成化管理研究.天津大学硕士论文,2006
[35]夏井新,黄卫.高速公路工程建设管理一体化系统研究[J].东南大学学报,2001,(5):30-34
[36] Arena Pharmaceuticals公司开始APD125治疗慢性失眠的Ⅱ期临床试验.齐鲁药事, 2007, (4) :254
[37]龚晓光,黎志成,胡斌.员工个体行为激励定性模拟方法与系统研究[J].武汉理工大学学报信息与管理工程版
[38]胡斌,邵祖峰.企业关键岗位管理人员甄选定性模拟方法及原型系统[J].系统工程理论与实践
[39] Leen S. Kang, Boyd C. Paulson. Adaptability of Information Classification Systems for Civil Works[J], Journal Of Construction Engineering And Management, ASCE,1997,123(4):419-426
[40] Angel Ortiz, Francisco Lario, Lorenzo Ros., Enterprise Integration—Business Processes Integrated Management: a proposal for a methodology to develop Enterprise Integration Programs[J], Computers in Industry 155-171, 1999
[2] http://www.cnas.org.cn/col771/col774/col780/index.htm1?colid=780
[3]王宝玉,朱茸茸,包敏敏,吴敏建.利用品牌无形资产拓展保持竞争优势.中医药管理杂志, 2009, (3):216-217
[4]刘松鹤.信息网络化建设在医院管理中的作用及现状分析.河北医学, 2009, (1):117-119
[5]杨米沙.银行排队系统数据分析及窗口设置优化研究.武汉理工大学学报(信息与管理工程版) , 2008, (4):624-627
[6]陈学顺.论我国大医院的适度规模发展.中国医院, 2008, (1):19-21
[7]黄忠、刘芳,再谈建设项目管理模式的创新.工程项目管理,2003,(6):12-16
[8]杨大干,郭希超,徐根云,陈瑜.叫号排队系统在检验抽血中的应用.中国医疗器械杂志, 2008, (2):139-141
[9]邹尚辉.城市人口的遥感估算方法.遥感学报, 1991, (3):24-26
[10] Shen Q., Leitch R. Fuzzy Qualitative Simulation[J]. IEEE Transactions on Systems, Man and Cybernetics. 1993, 23(4):1038-1061.
[11] Nissen M. E. Qualitative Simulation of Organizational Microprocesses[C]. in: J. Nuna. Maker J, R. Sprague J(eds.). Proceedings of the 27th Annual Hawaii International Conference on System Sciences. 1994:635-644.
[12] Berends P., Romme G. Simulation as a Research Tool in Management Studies[J]. European Management Journal. 1999, 17(6):576-583.
[13]胡斌,董升平.企业管理者自我效能感的定性模拟[J].系统工程,2005, 23(8):12-19.
[14]胡斌,董升平.人群工作行为定性模拟方法[J].管理科学学报,2005,(2):77-85.
[15]胡斌,夏功成.群体行为集成化知识描述与定性模拟研究[J].中国管理科学,2004,(1):156-159.
[16] Shengping D., Bin H. Upgraded cellular automata based group-work interaction simulation[C]. in: Proceedings of 2007 Winter Simulation Conference. Washington, D.C., USA: 2007:1207-1215.
[17] Carley K. M. Computational and Mathematical Organization Theory: Perspective and Direction[J]. Computational and Mathematical Organization Theory. 1995, 1(1):39-56.
[18] Deloach S. A., Matson E. An Organizational Model for Designing Adaptive Multiagent Systems[C]. in The AAAI-04 Workshop on Agent Organizations: Theory and Practice. San Jose, California,2004.
[19]王东锋,陈英武.模糊定性建模与仿真集成实现[J].系统工程理论与实践. 2002, 22(3):119-124.
[20]胡斌,董升平.企业管理者自我效能感的定性模拟[J].系统工程. 2005, 23(8):12-19.
[21] Platzner M., Rinner B., Weiss R. Parallel qualitative simulation[J]. Simulation Practice and Theory. 1997, 5(7-8):623-638.
[22]赵会平,潘刚,徐心和.并行仿真技术综述[J].计算机仿真,2003, 20(11): 1-5,123.
[23] Geo rge M. Giaglis, Ray J. Paul, Vlatka Hlupic, Integrating simulation in organizational design studies, International Journal of Information Management 1999,(19):219-236.
[24] Say A. C., Ak H. L. Sound and complete qualitative simulation is impossible[J]. Artificial Intelligence. 2003, 149(2):251-266.
[25]冷平,凌攀,姚安延. Sysmex XE-2100全自动血液分析仪的性能评价.四川省卫生管理干部学院学报, 2008, (2):108-109
[26]陈辉,伍勇,戴春梅.对UF-100尿沉渣全自动分析仪复查标准的初步探讨.实用临床医学, 2006, (3) :39-40
[27]陈旭,武振业.新一代可视化交互集成仿真环境Arena[J].计算机应用研究, 2000, (1) :9-15
[28]宣慧玉,高宝俊.一个基于离散事件仿真的Multi—Agent经济仿真模型[J].信息与控制, 2002, 31(1),:84-88.
[29] Hazy J. K., Tivnan B. F. On Building an Organizationally Realistic Agent-Based Model of Local Interaction and Emergent Network Structure[C]. in: Proceedings of the 2004 Winter Simulation Conference. 2004.
[30]潘燕春,周泓,冯允成.基于Arena的车间作业排序问题建模方法及其仿真优化系统设计.计算机集成制造系统, 2006, (3) :389-394
[31]钱芝网, VMI模式下基于Arena的最优订货点仿真.工业工程与管理, 2009, (2) :21-26
[32]杨荣华.高速公路建设项目集成化管理模式及关键技术研究.长沙理工大学硕士论文,2005
[33]李艳丽.公路工程造价管理中的问题及对策[J].公路与汽运,2005,(4):159-160
[34]姜琳.基于复杂性思想的大型工程建设项目集成化管理研究.天津大学硕士论文,2006
[35]夏井新,黄卫.高速公路工程建设管理一体化系统研究[J].东南大学学报,2001,(5):30-34
[36] Arena Pharmaceuticals公司开始APD125治疗慢性失眠的Ⅱ期临床试验.齐鲁药事, 2007, (4) :254
[37]龚晓光,黎志成,胡斌.员工个体行为激励定性模拟方法与系统研究[J].武汉理工大学学报信息与管理工程版
[38]胡斌,邵祖峰.企业关键岗位管理人员甄选定性模拟方法及原型系统[J].系统工程理论与实践
[39] Leen S. Kang, Boyd C. Paulson. Adaptability of Information Classification Systems for Civil Works[J], Journal Of Construction Engineering And Management, ASCE,1997,123(4):419-426
[40] Angel Ortiz, Francisco Lario, Lorenzo Ros., Enterprise Integration—Business Processes Integrated Management: a proposal for a methodology to develop Enterprise Integration Programs[J], Computers in Industry 155-171, 1999