کاربرد شبیه سازی در لجستیک بیمارستان

نوع مقاله : کاربردی

نویسندگان

دانشجوی کارشناسی ارشد مهندسی صنایع، دانشکده فنی و مهندسی دانشگاه خوارزمی تهران

چکیده

در مدیریت بیمارستان باید به فکر افزایش کیفیت و کاهش هزینه‌ها بود، در­حالی­ که محدودیت‌هایی در منابع وجود دارد. برای تخصیص بهینه منابع و مدیریت زمان‌بندی در اجرای بسیاری از فرآیندهای مراقبت- سلامت فناوری‌های جدیدی به نام شبیه‌سازی توسعه یافته است و پیشرفت‌های فرآوانی برای ایجاد نمایه‌های واقع­گرایانه داشته است. این شبیه‌سازی‌ها می‌توانند برای تسهیل درک بهتر موقعیت‌های مختلف و گلوگاه‌های سیستم، آموزش هماهنگی در لجستیک، فرآیندهای تصمیم‌گیری و جنبه‌های طراحی سیستم مراقبت­های بهداشتی استفاده شوند. در این پژوهش به بررسی انواع  مدل‌های شبیه‌سازی و کاربردهای آنها در مدیریت سیستم‌های بیمارستان پرداخته شده و به شرح مدل‌های شبیه‌سازی که می‌تواند برای آموزش افراد در هماهنگی لجستیک عملیاتی که روزانه انجام می‌شود مفید باشد، ارائه شده است. بررسی انواع مختلف مدل‌های شبیه‌سازی در چندین مقاله کاربرد آنها را برای ساختن سناریوهای گوناگون برای حل انواع مسائلی که در مدیریت بیمارستانی وجود دارد را برای جلسات آموزشی نشان می‌دهد. مطالعات گسترده در پژوهش‌های انجام شده شامل شبیه‌سازی لجستیک در زمینه سیستم‌های مراقبت-سلامت نشان­دهنده رشد استفاده از تکنیک شبیه‌سازی در تنظیمات این سیستم ها است.

کلیدواژه‌ها


عنوان مقاله [English]

Application of Simulation in Hospital Management

نویسندگان [English]

  • Neda Rasoli
  • Pegah Shayanimehr
M.Sc. Student in Industrial Engineering, Department of Industrial Engineering, Faculty of Engineering, Kharazmi University, Tehran, Iran
چکیده [English]

In hospital management, we are seeking to increase quality and reduce costs, while there are resource constraints, for optimal allocation of resources and scheduling time, many developed technologies for development of health-care called simulations, and Process progress has been made to create realistic profiles. These simulations can be used to facilitate a better understanding of the different situations and system bottlenecks, coordination training in logistics, decision-making processes, and design aspects of health care systems. In this research, we have explored a variety of simulation models and their applications in managing hospital systems and provide simulation models that can be useful for training individuals in the logistic coordination of operations that are performed daily. Examining different types of simulation models in several papers, their use to create various scenarios to solve a variety of issues that are present in hospital management, as well as for training sessions. Extensive studies in simulation research in the field of logistics health care systems show the growth of the use simulation techniques in adjusting these systems.

کلیدواژه‌ها [English]

  • Simulation Model
  • Health
  • Quality
  • Logistics Simulation
[1] Klein G, Feltovich PJ, Bradshaw JM, Woods DD, "Common ground and coordination in joint activity. In: Rouse WB, Boff KR, editors", Organizational simulation. New Jersey: Wiley, p. 139–84.2005.
[2] Vincent C, Amalberti R., "Safety strategies in hospitals. In: Safer healthcare", Cham: Springer International Publishing. p. 73–91.
[3] Macrae C, Draycott T., "Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience", Saf Sci. 2016. https://doi.org/10.1016/j.ssci.2016.10.019.
[4] Zhang et al., "Advances in Simulation  A systematic literature review of simulation models for non-technical skill training in healthcare logistics", 2018, https://doi.org/10.1186/s41077-018-0072-7.
[5] Dieckmann P, Zeltner LG, Helsø A-M., "Hand-it-on", an innovative simulation on the relation of non-technical skills to healthcare. Adv Simul.;1:30. 2016.
[6] Ulmanen P, Szebehely M., "From the state to the family or to the market? Consequences of reduced residential eldercare in Sweden: from the state to the family", Int J Soc Welf.;24:81–92. 2015.
[7] Hagihara A, Hasegawa M, Hinohara Y, Abe T, Motoi M., "The aging population and future demand for emergency ambulances in Japan", Intern Emerg Med.;8:431–7. 2013.
[8] Kriz WC., "Creating effective learning environments and learning organizations through gaming simulation design", Simul Gaming.;34:495–511. 2003.
[9] Kriz WC., "Types of gaming simulation applications", Simul Gaming.;48:3–7, 2017.
[10] Meijer S., "The power of sponges: comparing high-tech and low-tech gaming for innovation", Simul Gaming.46:512–35, 2015.
[11] Jun JB, Jacobson SH, Swisher JR., "Application of discrete-event simulation in health care clinics: a survey", J Oper Res Soc.50:109–23, 1999.
[12] Brailsford SC., "System dynamics: what’s in it for healthcare simulation modelers", In: Proceedings of the winter simulation conference. p.1478–83, 2008.
[13] Koelling P, Schwandt MJ., "Health systems: a dynamic system-benefits from system dynamics", In: Proceedings of the winter simulation conference.p. 1321–7, 2005.
[14] Klein R, Dittus R, Roberts S, Wilson J., "Simulation Modeling and Health-care Decision Making", Medical Decision Making.13(4):347-354, 1993.
[15] Fone D, Hollinghurst S, Temple M, Round A, Lester N, Weightman A, Roberts K, Coyle E,Bevan G,Palmer S., "Systematic review of the use and value of computer simulation modelling in population
health and health care delivery", Journal of Public Health. 25(4):325-335, 2003.
[16] White K., "A survey of data resources for simulating patient flows in healthcare delivery systems", In: Simulation Conference, Proceedings of the Winter. IEEE. pp.926-934, 2005, http://ieeexplore.ieee.org/xpl/articleDetails.jsp?arnumber=1574341. Accessed 31 Dec 2014.
[17] Hoot N, Aronsky D., "Systematic Review of Emergency Department Crowding: Causes, Effects, and Solutions", Annals of Emergency Medicine. 52(2):126-136.e1, 2008.
[18] Sobolev B, Sanchez V, Vasilakis C., "Systematic Review of the Use of Computer Simulation Modeling of Patient Flow in Surgical Care", J Med Syst. 35(1):1-16, 2009.
[19] Jack E, Powers T., "A review and synthesis of demand management, capacity management and performance in health-care services", International Journal of Management Reviews.11(2):149174, 2009.
[20] Brailsford S, Harper P, Patel B, Pitt M., "An analysis of the academic literature on simulation and modelling in health care", Journal of Simulation. 3(3):130-140, 2009.
[21] Mielczarek B, Uzialko-Mydlikowska J., "Application of computer simulation modeling in the health care sector: a survey", SIMULATION. 88(2):197-216, 2010.
[22] Paul S, Reddy M, DeFlitch C., "A Systematic Review of Simulation Studies Investigating Emergency Department Overcrowding", SIMULATION. 86(8-9):559-571, 2010.
[23] Mustafee N, Katsaliaki K, Taylor S., "Profiling Literature in Healthcare Simulation", SIMULATION. 86(8-9):543-558, 2010.
[24] Cardoen B, Demeulemeester E, Belien J., "Operating room planning and scheduling: A literature review", European Journal of Operational Research. 201(3):921-932, 2010.
[25] Katsaliaki K, Mustafee N., "Applications of simulation within the healthcare context", Journal of the Operational Research Society. 62(8):1431-1451, 2010.
[26] Guerriero F, Guido R., "Operational research in the management of the operating theatre: a survey", Health Care Manag Sci.14(1):89-114, 2010.
[27] Günal M, Pidd M., "Discrete event simulation for performance modelling in health care: a review of the literature", Journal of Simulation. 4(1):42-51, 2010.
[28] Van Sambeek J, Cornelissen F, Bakker P, Krabbendam J., "Models as instruments for optimizing hospital processes: a systematic review", International Journal of Health Care Quality Assurance. 23(4):356-377, 2010.
[29] Fakhimi M, Mustafee N., "Application of Operations Research within the UK Healthcare Context", Operational Research Society Simulation Workshop. The Operational Research Society; 2012   p.66 82 FakhimiMustafee.pdf. Accessed 22 April 2017
[30] Hulshof P, Kortbeek N, Boucherie R, Hans E, Bakker P., "Taxonomic classification of planning decisions in health care: a structured review of the state of the art in OR/MS", Health Systems.1(2):129-175, 2012.
[31] Van Lent W, VanBerkel P, Van Harten W., "A review on the relation between simulation and improvement in hospitals", BMC Med Inform Decis Making.12(18):1-8, 2012.
[32] Beliën J, Forcé H., "Supply chain management of blood products: A literature review", European Journal of Operational Research. 217(1):1-16, 2012.
[33] Aboueljinane L, Sahin E, Jemai Z., "A review on simulation models applied to emergency medical
service operations", Computers & Industrial Engineering. 66(4):734-750, 2013.
[34] Fakhimi M, Probert J., "Operations research within UK healthcare: a review", Journal of Ent Info
Management. 26(1/2):21-49, 2013.
[35] Timbie J, Ringel J, Fox D, Pillemer F, Waxman D, Moore M, Hansen C, Knebel A, Ricciardi R, Kellermann A., "Systematic Review of Strategies to Manage and Allocate Scarce Resources During Mass Casualty Events", Annals of Emergency Medicine. 61(6):677-689.e101, 2013.
[36] Pomey M, Forest P, Sanmartin C, DeCoster C, Clavel N, Warren E, Drew M, Noseworthy T., "Toward systematic reviews to understand the determinants of wait time management success to help decision-makers and managers better manage wait times", Implementation Science. 8(1):61, 2013.
[37] Verbano C, Crema M., "Guidelines for overcoming hospital managerial challenges: a systematic literature review", Therapeutics and Clinical Risk Management. 9:427-441, 2013.
[38] Lakshmi C, Sivakumar A., "Application of queueing theory in health care: A literaturereview", Operations Research for Health Care. 2(1-2):25-39, 2013.
[39] Mahdavi M, Malmström T, Van De Klundert J, Elkhuizen S, Vissers J., "Generic operational models in health service operations management: A systematic review", Socio-Economic Planning Sciences. 47(4):271-280, 2013.
[40] Kammoun A, Loukil T, Hachicha W., "The use of discrete event simulation in hospital supply chain management", In: Advanced Logistics and Transport (ICALT). IEEE. 2014:143-148. DOI: 10.1109/ICAdLT.2014.6864108.
[41] Carey G, Malbon E, Carey N, Joyce A, Crammond B, Carey A., "Systems science and systems thinking for public health: a systematic review of the field", BMJ Open. 5(12):e009002, 2015.
[42] Atkinson J, Wells R, Page A, Dominello A, Haines M, Wilson A., "Applications of system dynamics modelling to support health policy", Public Health Research & Practice. 25(3), 2015.
[43] Baru R, Cudney E, Guardiola I., "Systematic Review of Operations Research and Simulation Methods for Bed Management", Industrial and Systems Engineering Research Conference. ResearchGate. p. 298-306, 2015.
[44] Isern D, Moreno A., "A Systematic Literature Review of Agents Applied in Healthcare", Journal of Medical Systems. 40(2).19, 2015.
[45] Gul M, Guneri A., "A comprehensive review of emergency department simulation applications for normal and disaster conditions", Computers & Industrial Engineering. 83:327-344, 2015.
[46] Vieira B, Hans E, Van Vliet-Vroegindeweij C, Van de Kamer J, van Harten W., "Operations research for resource planning and -use in radiotherapy: a literature review", BMC Medical Informatics and Decision Making.16(1):3-11.39,2016.
[47] Mielczarek B., "Review of modelling approaches for healthcare simulation", Operations Research and Decisions. 26(1):55-72, 2016.
[48] Palmer R, Fulop N, Utley M., "A systematic literature review of operational research methods for modelling patient flow and outcomes within community healthcare and other settings", Health Systems. 6(15):1 21, 2017.
[49] Soh K ,Walker C, O’ Sullivan M., "A Literature Review on Validated Simulations of the Surgical Services", Journal of Medical Systems. 41(4), 2017.
[50] Mohiuddin S, Busby J, Savovi? J, Richards A, Northstone K, Hollingworth W et al., "Patient flow within UK emergency departments: a systematic review of the use of computer simulation modelling methods", BMJ Open. 7(5):1-14, 2017.
[51] Schaefer JJ, Vanderbilt AA, Cason CL, Bauman EB, Glavin RJ, Lee FW, et al., "Literature review: instructional design and pedagogy science in healthcare simulation", Simul Healthc. 6:30–41, 2011.
[52] Nestel D, Groom J, Eikeland-Husebø S, OʼDonnell JM., "Simulation for learning and teaching procedural skills: the state of the science", Simul Healthc. 6:10–3, 2011.
[53] DeRienzo CM, Shaw RJ, Meanor P, Lada E, Ferranti J, Tanaka D., "A discrete event simulation tool to support and predict hospital and clinic staffing", Health Informatics J. 23:124–33, 2016.
[54] Devapriya P, Strömblad CTB, Bailey MD, Frazier S, Bulger J, Kemberling ST, et al., "StratBAM: a discrete-event simulation model to support strategic hospital bed capacity decisions", J Med Syst.39:130, 2015.
[55] Vasilakis C, Sobolev BG, Kuramoto L, Levy AR., "A simulation study of scheduling clinic appointments in surgical care: individual surgeon versus pooled lists", J Oper Res Soc. 58:20211, 2007.
[56] Jørgensen P, Jacobsen P, Poulsen JH., "Identifying the potential of changes to blood sample logistics using simulation", Scand J Clin Lab Invest.73:279–85, 2013.
[57] Brailsford SC, Lattimer VA, Tarnaras P, Turnbull JC., "Emergency and ondemand health care: modelling a large complex system", J Oper Res Soc. 55:34–42, 2004.
[58] Azzi A, Persona A, Sgarbossa F, Bonin M., "Drug inventory management and distribution: moutsourcing logistics to third-party providers", Strateg Outsourcing Int J. 6:48–64, 2013.
[59] I. Grigoryev., "AnyLogic in Three Days: Modeling and Simulation Textbook", The AnyLogic Company, 2014.
[60] Jetly, G., Rossetti, C. L., & Handfield, R., "A multi-agent simulation of the pharmaceutical supply chain", 6(4), 215–226  jos.2011.26, 2012.
[61] Escudero-marin, P., "USING ABMS TO SIMULATE EMERGENCY DEPARTMENTS", 1239–1250, 2011.
]62 [ماسوله،الف. امیری، س. "مدل‌سازی عامل محور"، جامعه‌شناسی و علوم اجتماعی: دومین کنفرانس ملی،16-1، 1393.
[63] Zhang, C., Grandits, T., Härenstam, K. P., Hauge, J. B., & Meijer, S., "A systematic literature review of simulation models for non-technical skill training in healthcare logistics", 1–16, 2018.
[64] Mustafee N, Katsaliaki K., "The blood supply game", In: Proceedings of the winter simulation conference. p. 327–38, 2010.
[65] Katsaliaki, K., Mustafee, N., & Kumar, S., "Expert Systems with Applications A game-based approach towards facilitating decision making for perishable products : An example of blood supply chain", EXPERT SYSTEMS WITH APPLICATIONS, 41(9), 4043–4059.  eswa.2013.12.038, 2014.
[66] Brailsford SC, Desai SM, Viana J., "Towards the holy grail: combining system dynamics and discrete-event simulation in healthcare", In: Proceedings of the winter simulation conference. p. 2293–303, 2010.