论文标题

急诊科的人力和物质资源优化的混合整数线性计划

A Mixed Integer Linear Program For Human And Material Resources Optimization In Emergency Department

论文作者

Chouba, Ibtissem, Amodeo, Lionel, Yalaoui, Farouk, Arbaoui, Taha, Laplanche, David

论文摘要

患者需求与急诊科(ED)能力之间的差异,主要取决于人力资源和可用于患者的床,通常会导致Ed人满为患和等待时间的增加。在本文中,我们着重于法国特洛伊斯医院(CHT)医院中心ED的人类(医疗和护理人员)和物质资源(BED)的优化。我们寻求将等待患者的到达到出院的总数最小化。我们提出了一个通过样本平均近似方法(SAA)方法求解的混合整数线性程序。该程序已在从ED信息系统中收集的一组真实数据上进行了测试。数值结果表明,人类和材料资源的优化导致等待患者总数减少。

The discrepancy between patient demand and the emergency departments (ED) capacity, that mainly depends on human resources and on beds available for patients, often lead to ED's overcrowding and to the increase in waiting time. In this paper, we focus on the optimization of the human (medical and paramedical staff) and material resources (beds) in the ED of the hospital center of Troyes, France (CHT). We seek to minimize the total number of waiting patients from their arrival to their discharge. We propose a mixed integer linear program solved by a sample average approximation (SAA) approach. The program has been tested on a set of real data gathered from the ED information system. Numerical results show that the optimization of human and material resources leads to a decrease of total number of waiting patients.

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