论文标题
成功实施离散事件模拟：意大利急诊室的案例
Successful implementation of discrete event simulation: the case of an Italian emergency department
论文作者
论文摘要
本文重点介绍了意大利北部的医疗保健{\ it急诊室}（ED）所面临的实践管理问题。我们研究的目的是提出所选ED的组织变化，该组织每月承认约7000名患者，旨在改善与患者满意度有关的关键绩效指标，例如等待时间。我们的研究基于设计思维过程，该设计过程采用{\ it离散事件模拟}（des）模型作为提出更改的主要工具。我们使用DES模型提出和评估不同改进方案的影响。该模型基于历史数据，观察当前的ED情况以及从ED员工那里获得的信息。 DES模型获得的结果已与与现有ED设置相关的结果进行了比较，然后由ED管理人员验证。根据我们获得的结果，ED选择了一个经过测试的方案进行实施。
This paper focuses on the study of a practical management problem faced by a healthcare {\it emergency department} (ED) located in the north of Italy. The objective of our study was to propose organisational changes in the selected ED, which admits approximately 7000 patients per month, aiming at improving key performance indicators related to patient satisfaction, such as the waiting time. Our study is based on a design thinking process that adopts a {\it discrete event simulation} (DES) model as the main tool for proposing changes. We used the DES model to propose and evaluate the impact of different improving scenarios. The model is based on historical data, on the observation of the current ED situation, and information obtained from the ED staff. The results obtained by the DES model have been compared with those related to the existing ED setting, and then validated by the ED managers. Based on the results we obtained, one of the tested scenarios was selected by the ED for implementation.
