基于仿真的心脏外科ICU最优床位配比研究  

Simulation Research of Optimized Cardiac Surgery ICU Bed Ratio

作　　者：霍达[1,2] 寇博[1,3] 吕鸣[1,2] 周支立[1,2] 

机构地区：[1]西安交通大学管理学院,陕西西安710049 [2]西安交通大学机械制造系统工程国家重点实验室,陕西西安710049 [3]西安交通大学第一附属医院,陕西西安710061

出　　处：《工业工程与管理》2017年第3期114-119,134,共7页Industrial Engineering and Management

摘　　要：医院心脏外科的床位可以分为住院床位和重症监护室(ICU)床位,其中,心外科手术病人手术后必须入住心外科ICU恢复,因此,心脏外科ICU床位的不足将会导致危重病人的手术不能及时安排,甚至危及病人的生命。基于陕西省某三甲医院心脏外科实际情况,利用Arena软件进行了系统仿真,探寻了基于现有条件下的心外科住院床位和ICU床位之间的最优配比。同时通过仿真进行了流程再造,对进一步提高心外科的服务水平提出了改进措施。该研究对国内外同类机构都具有一定的参考价值。The beds of the department of cardiac surgery can be divided into two parts. inpatient beds and ICU beds, among which the cardiac ICU beds must be available for the upcoming post-operation patients. Therefore,the shortage of Cardiac ICU beds usually causes the delayed surgery schedule which threats the living of the critical patients. Based on the actual operation of the department of cardiac surgery in a 3A hospital in Shaanxi Province, the optimized ICU bed ratio （inpatient beds/ICU beds） was found under the current conditions with using Arena software for system simulation. Afterwards the whole process within the selected departments was reengineered and the advice was provided for the improved ICU service level.

关 键 词：系统仿真 最优床位配比 ICU 流程再造 

分 类 号：TP391.9[自动化与计算机技术—计算机应用技术]