Simulation of a Three-Level Emergency Medical Care System in the Chechen Republic

Teplov, V. M.; Цебровская, Е. А.; Karpova, E. A.; Suleymanov, E. A.; Ихаев, А. Б.; Разумный, Н. В.; Миннуллин, И. П.; Bagnenko, S. F.

doi:10.24884/2072-6716-2020-21-2-9-14

Cited by 5 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Естественно, необходимо тщательное планирование перед практической реализацией новой системы организации оказания скорой медицинской помощи в субъекте Российской Федерации, для чего было предложено проведение организационных экспериментов с использованием имитационного моделирования [9]. В основу модели закладывались данные из годовых форм федерального статистического наблюдения № 14 «Сведения о деятельности подразделений медицинской организации, оказывающих медицинскую помощь в стационарных условиях» и № 30 «Сведения о медицинской организации» медицинских организаций исследуемых субъектов.…”

Section: медицинская помощьunclassified

Organization of a three-level system of emergency, including emergency specialized, medical care in the constituent entities of the Russian Federation

Bagnenko

Teplov

Tsebrovskaya

et al. 2023

jour

Self Cite

View full text Add to dashboard Cite

Introduction. The article presents an analysis of the problem, justification of the concept and formulates the basic principles of the functioning of a three-level system for organizing the provision of emergency specialized medical care in the constituent entities of the Russian Federation, and also demonstrates the experience of using computer modeling to create it on the example of three constituent entities of the country. Target. Determination of possible ways to optimize the three-level system in the regions through virtual experiments.Methods. A retrospective analysis of data on the current activities of the region was carried out, on the basis of which, with the help of computer simulation, a model of a three-level system was created and experiments aimed at its optimization were carried out. Results. On the basis of data on emergency patients admitted to various hospitals, a simulation model was created, a number of experiments were carried out aimed at determining the optimal redistribution of the flow of patients in need of emergency care in hospitals of the 3rd level, including in emergency situations of a biological and social nature at example of the COVID‑19 pandemic. The effectiveness of the proposed system was demonstrated, in the model it was possible to ensure the timely hospitalization of all patients in the subject to the place of providing them with comprehensive medical care. Conclusion. For the organization of a three-level system of emergency care, including specialized medical care, it is advisable to conduct organizational experiments using simulation modeling, which allows you to correctly plan the redistribution of patient flows, identify possible errors in the virtual model.

show abstract

Section: медицинская помощьunclassified

Organization of a three-level system of emergency, including emergency specialized, medical care in the constituent entities of the Russian Federation

Bagnenko

Teplov

Tsebrovskaya

et al. 2023

jour

Self Cite

View full text Add to dashboard Cite

show abstract

“…Материалы и методы исследования. Для создания виртуальной модели СтОСМП было выбрано программное обеспечение Flexsim HealthCare, позволяющее проводить процессное моделирование предполагаемой работы [4,5]. В программе была воссоздана работа двух стационарных отделений СМП: СтОСМП университетской клиники Первого Санкт-Петербургского государственного медицинского университета (ПСПбГМУ) им.…”

unclassified

The Role of Urgent Medical Treatment Department in Conditions of a Massive Influx of Technogenic Emergencies Victims

Tsebrovskaya¹,

Teplov²,

Klyukovkin³

et al. 2023

Disaster Medicine

View full text Add to dashboard Cite

Summary. Investigation purpose – a planning of stationary department of urgent medical treatment (SDUMT) work in conditions of massive influx of technogenic emergencies (ES) victims. Methods and materials of the investigation. To make the virtual models of (SDUMT) the Flexsim HealthCare software was chosen. The software allows to conduct a processive modeling of predictable work. A work of two stationary urgent medical treatment departments was recreated. The first was SDUMT of university clinic of the First Saint-Petersburg state medical university (FSPAMU) named after academic I.P. Pavlov of Ministry of Health of Russia (model-1) with average (23±2 patients per day) patient influx. The second was SDUMT of city urgent medical treatment hospital №25 of the city of Volgograd (model 2) with average (145±3 patients per day) patient influx. In addition, a retrospective analysis of technogenic ES happened in 45 Russian subjects in 2017-2022 was conducted. A prognosis of specified SDUMT work in conditions of massive emergency victims influx was planned to conduct basing on the up written analysis. Investigation results and their analysis. As a result of the experiments an optimal SDUMT staff was defined. The role of this staff in conditions of massive technogenic emergency victims influx was assessed.

show abstract

Possibilities of simulation modeling in the practice of the healthcare system

Tsebrovskaya¹,

Teplov²,

Klyukovkin³

et al. 2022

The Scientific Notes of the Pavlov university

View full text Add to dashboard Cite

Introduction. This article presents the experience of five years of using simulation modeling to optimize work in the field of healthcare organization. Works are considered on the example of organizing the process of a three-level system for organizing emergency medical care in the regions, and examples of the practical application of computer modeling to improve the work of an inpatient emergency department are presented.The objective was to study various methods and approaches to the implementation of simulation modeling used in practice in the healthcare system. Consider the possibilities of simulation modeling on the FlexsimHC platform.Methods and materials. The analysis of methods and software used to create a simulation model in the healthcare sector was carried out. The main possibilities of using process modeling on the FlexsimHC platform were considered on the example of designing work inside and outside the hospital.Results. After a series of experiments in the virtual space, the data obtained were put into practice. On the example of the completed project of the simulation model of the region, a real way to optimize the emergency medical care in the region was proposed. Experiments were also carried out on models of an inpatient emergency department, the results of which revealed ways to optimize the workflow aimed at reducing the duration of stay inside the department, at an adequate distribution of patient flows, allowing timely implementation of all necessary medical and diagnostic measures without additional burden on medical personnel.Conclusion. Simulation modeling is the key to solving the logical problems of modern planning, allowing to reduce the risks of logistics errors in real time.

show abstract

Simulation of a Three-Level Emergency Medical Care System in the Chechen Republic

Cited by 5 publications

References 1 publication

Organization of a three-level system of emergency, including emergency specialized, medical care in the constituent entities of the Russian Federation

Organization of a three-level system of emergency, including emergency specialized, medical care in the constituent entities of the Russian Federation

The Role of Urgent Medical Treatment Department in Conditions of a Massive Influx of Technogenic Emergencies Victims

Possibilities of simulation modeling in the practice of the healthcare system

Contact Info

Product

Resources

About