基于离散事件仿真的急诊初复诊患者就诊顺序研究  

Research on new and revisit patient sequence rank based on discrete-event simulation model

作　　者：邓业雯 耿娜[1] 江志斌[1] 陈尔真[2] 金瑞[2] 高卫益[2] DENG Yewen GENG Na JIANG Zhibin CHEN Erzhen JIN Rui GAO Weiyi(School of Mechanical Engineering, Shanghai Jiao Tong University, No.800 ,Dongchuan Road, Shanghai, 200240, PR)

机构地区：[1]上海交通大学机械与动力工程学院 [2]上海交通大学医学院附属瑞金医院,上海市瑞金二路197号200025

出　　处：《中国医院》2017年第2期54-57,共4页Chinese Hospitals

基　　金：科技部创新方法工作专项项目(2015IM030200)

摘　　要：目的:优化急诊就诊流程,理顺急诊初复诊患者就诊顺序,缩短急诊患者排队等候时间,改善就医体验。方法:基于2014-2015年上海某三甲医院急诊内科患者就诊数据进行统计分析,并建立离散事件仿真系统对初复诊患者就诊顺序进行研究。结果:使初复诊患者就诊次序得到了改善,减少了患者等待时间,为急诊电子排队叫号系统的推行提供了切实可行的依据。结论:初复诊患者按1∶1叫号是减少患者等待时间,有效改善患者就诊时排队无序、诊室环境拥堵嘈杂的有效解决方案。Objectives：To improve the treatment process in the emergency department and schedule the sequence of new patients and re-entrant patients. Shorten the waiting time of patients and improve their experiences. Methods：The data of emergency internal medical patients of a top level hospital in shanghai is analyzed by using statistical method and a discrete-event simulation model is built to find the good sequencing rule for new and revisit patients. Results：The sequence of new and revisit patients has been improved, thus shortening the waiting time of patients. It provides a practical and feasible foundation to the implementation of the electronic queue management system. Conclusions：Calling the new and revisit patient in the ratio of 1：1 is an effective solution to reduce the waiting time and avoid overcrowding in the emergency department.

关 键 词：急诊管理 调度策略 仿真模型 叫号系统 

分 类 号：R459.7[医药卫生—急诊医学]