Patient-Centered Simulation to Aid Decision-Making in Hospital Management

Abstract

Computer simulation has eased the study of complex systems. A hospital is a complex sys tem that is formed by a large number of units with strong interrelationships. Even though resources are limited, patients must be effi ciently treated. This paper presents simulation as a tool to aid hospital management. In the first phase we present an introduction to the problem and its motivation. The next step is the description of how the system functions. The choice of the simulation model and the approach in dealing with it are described. Finally, the implementation of the simulation tool is pre sented. This tool is used for supporting the deci sion-making processes in hospital management.

Keywords

Hospital management decision making discrete event system knowledge- based systems expert systems Modsim health care

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References

Hammer and Champy. Reengineering the Corporation, Harper Collins, 1993.

McHaney, R. Computer Simulation. A Practical Perspective, Academic Press, 1991.

Matko, Karba , and Zupancic. Simulation and Modeling of Continuous Systems, Prentice Hall, 1992.

González, B. , Barber, P. "Evaluation of Alternative Functional Designs in an Emergency Department by Means of Simulation." SIMULATION , 63:1, pp 20-28, July 1994 .

Fowler, M. Analysis Patterns: Reusable Object Models, Addison Wesley , 1997.

Moreno, L. , Aguilar, R.M. , Martin, C.A. , Piñeiro, J.D. , Sánchez, J.L. , Jiménez, V.I. , González, M.A. , González, B. , Rodriguez, S. "A Knowledge-Based System to Aid Hospital Management." International Institute of Informatics and Systemics (IIIS), Word Multiconference on Systemic, Cybernetics and Informatics , Vol. 3, Venezuela, pp 438-445, 1997.

Moreno, L. , Aguilar, R.M. , Martin, C.A. , Piñeiro, J.D. , Sánchez, J.L. , Jiménez, V.I. , González, M.A. , González, B. , Rodriguez, S. "Modeling and Simulation in Management Decision-Making." The Society for Computer Simulation International (SCS), Simulation in the Medical Sciences Conference, Arizona, pp 43-48, 1997.

Guadalajara, N. Análisis de Costes en los Hospitales, M/C/Q Ediciones, 1994.

Moreno, L. , Aguilar, R.M. , Martin, C.A. , Piñeiro, J.D. , Sigut, J.F. , Hamilton, C.A. , Estévez, J.I. , Jiménez, V.I. , González, B. "An Automated System to Aid Decision Making in the Hospital Management ." International ICSC Symposium on Engineering of Intelligent Systems (EIS'98), Vol. 3, Espana, pp 203-209, 1998.

10.

Molina, M. , Shahar, Y. , Cuena, J. , Musen, M.A. A Structure of Problem-Solving Methods for Real-time Decision Support: Modeling Approaches Using PROTÉGÉ-II and KSM.

11.

Fishwick, P.A. Simulation Model Design and Execution. Building Digital Worlds, Prentice Hall, 1995.

12.

Delaney, W. , Vaccari, E. Dynamic Models and Discrete Event Simulation, Marcel Dekker , 1989.

13.

Brams G.W. Las Redes de Petri. Teoria y Práctica. Vol. 1, 1986.

14.

Silva, M. Las Redes de Petri: en la Automática y la Informática, 1985 .

15.

Gilbert, G.N. , Doran, J. Simulating Societies: The Computer Simulation of Social Processes, UCL Press, 1993 .

16.

Langton, C. , Minar, N. , Burkhart, R. The Swarm Simulation System : A Tool for Studying Complex Systems , Santa Fe Institute, www.santafe.edu/projects/swarm .

17.

Jacobson, I. , Christerson, M. , Jonsson, P. , Övergaard, G. Object-Oriented Software Engineering. A Use Case Driven Approach, Addison-Wesley, 1992.

18.

CACI Products Company. MODSIM II. The Language for Object-Oriented Programming, 1995 .

19.

Harding, A. Dynamic Microsimulation Models: Problems and Prospects, London School of Economics, 1990.

20.

Unger, B.W. , Cleary, J.G. "Practical Parallel Discrete Event Simulation ." ORSA Journal on Computing, Vol. 3, No. 5, pp 242-244, 1993.

21.

Dekkers, G.J.M. "Including Macro Econometric Models in Microsimulation Models: The Case of NEDYMAS." Nordic Seminar on Microsimulation Models, 1995.