A Three-Level Strategy for the Design and Performance Evaluation of Hospital Departments

Fanti, Maria Pia; Mangini, Agostino Marcello; Dotoli, Mariagrazia; Ukovich, Walter

doi:10.1109/tsmca.2012.2217319

Cited by 49 publications

(20 citation statements)

References 33 publications

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“…The problem of design, resource optimization, and performance evaluation of Hospital Departments (HD) is analyzed in [21] where a hierarchical three level strategy is proposed. The paper develops a design strategy intended for use by decision makers at the tactical level in order to make decisions about the available resources (number of beds, number of medical devices, number of doctors during shifts) in relation with the hospital workflow protocols.…”

Section: Management Of Hospital Departmentsmentioning

confidence: 99%

“…Hence, the third level strategy comes back again to the discrete event model in order to refine the optimal values of the resources in relation with the detected bottlenecks and blocking phenomena that the continuous model does not detect. In [18,21], the HD design strategy based on the three-presented modules is described in detail for a real case study: the Emergency Cardiology Department [21] and the Pulmonology Department [18] of the general hospital of Bari (Italy). In particular, the two case studies show the proposed procedure and the steps, which have to be performed to apply the strategy.…”

Section: Management Of Hospital Departmentsmentioning

confidence: 99%

“…The interested reader can find the state of the art about the modelling and simulation approaches of such complex systems in [4,21].…”

Section: Introductionmentioning

confidence: 99%

“…A third class of formal models employs the Discrete Event System (DES) framework (among others we recall [2,8,18,21,31,33,35]). In this context, a HS may be effectively described as a DES whose dynamics depends on the interaction of discrete events exhibiting a high degree of concurrency and parallelism.…”

Section: Introductionmentioning

confidence: 99%

“…In order to consider the different aspects of the HS, in the last years some authors presented the integrated use of different models and formalisms [4,21]. In particular, Augusto and Xie [4] propose a new modelling methodology for addressing organization problems of health care systems.…”

Section: Introductionmentioning

confidence: 99%

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Discrete event systems models and methods for different problems in healthcare management

Fanti

Ukovich

2014

Proceedings of the 2014 IEEE Emerging Technology and Factory Automation (ETFA)

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The rapidly growing of the world's population makes efficient Healthcare System (HS) management more and more important to all stakeholders, from patients and healthcare providers, to insurance companies and governments. The use of advanced information and networking technologies to advance health care management has long been recognized as the most effective way. Hence, healthcare organizations are often compared with manufacturing systems, and techniques and models from production systems are adapted to solve healthcare management problems. This paper presents a review about the relevant approaches in the related literature to model and simulate HSs with particular focus on discrete event system approaches. In particular, some works are recalled with more detail to show the integrated use of different formalisms in order to model and manage conventional HSs (e.g., hospital departments) as well as novel healthcare paradigms, like health at home and electronic health. © 2014 IEEE

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Section: Management Of Hospital Departmentsmentioning

confidence: 99%

Section: Management Of Hospital Departmentsmentioning

confidence: 99%

“…The interested reader can find the state of the art about the modelling and simulation approaches of such complex systems in [4,21].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Discrete event systems models and methods for different problems in healthcare management

Fanti

Ukovich

2014

Proceedings of the 2014 IEEE Emerging Technology and Factory Automation (ETFA)

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Healthcare Patient Flow Modeling and Analysis with Timed Petri Nets

Wang

2022

Advances in Computing, Informatics, Networking and Cybersecurity

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Toward a decision support system for the clinical pathways assessment

Bernardi

Mahulea

Albareda

2019

Discrete Event Dyn Syst

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This paper presents a decision support system to be used in hospital management tasks which is based on the clinical pathways. We propose a very simple graphical modeling language based on a small number of primitive elements through which the medical doctors could introduce a clinical pathway for a specific disease. Three essential aspects related to a clinical pathway can be specified in this language: (1) patient flow; (2) resource utilization; and (3) information interchange. This high-level language is a domain specific modeling language called Healthcare System Specification (HSS), and it is defined as an Unified Modeling Language (UML) profile. A model to model transformation is also proposed in order to obtain, from the pathways HSS specification, a Stochastic Well-formed Net (SWN) model that enables a formal analysis of the modeled system and, if needed, to apply synthesis methods enforcing specified requirements. The transformation is based on the application of local rules. The clinical pathway of hip fracture from the "Lozano Blesa" University hospital in Zaragoza is taken as an example.

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A Three-Level Strategy for the Design and Performance Evaluation of Hospital Departments

Cited by 49 publications

References 33 publications

Discrete event systems models and methods for different problems in healthcare management

Discrete event systems models and methods for different problems in healthcare management

Healthcare Patient Flow Modeling and Analysis with Timed Petri Nets

Toward a decision support system for the clinical pathways assessment

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