Robert Leskovar (Author), Rok Accetto (Author), Alenka Baggia (Author), Zlatko Lazarevič (Author), Goran Vukovič (Author), Peter Požun (Author)

Abstract

Background: Medical processes are often obstructed by administrative ones. Themain issue in administrative processes is uneven workload resulting in an increased possibility of human errors. The system approach assures that medical and administrative processes are integrated. According to research reports and best practices, discrete event simulation is a proper method to implement the system approach. Methods: A detailed analysis of the administrative processes was performed using interviews, UML diagrams and flowcharts. Based on the data gathered from the information system and measurements on the site, the distribution of patient arrivals and service times were modelled. The aim of discrete event simulation models was to replicate the behaviour of the existing system (separate administration) and to simulate the changes proposed (joint administration). Results: Average utilizations of administrative personnel in 100 simulation runs for specific clinical departments are: 83.8 % at the Department of Rheumatology, 61.9 % at the Department of Hypertension, and 47.2 % at the Veteransć Medical Unit. Should joint administration be applied, the average utilization of administrative personnel would be 74.3%. Conclusions: Discrete event simulation proved that joint administration would contribute to a more even workload distribution among administrative personnel, higher quality of service and easier human resource management. The presented approach can be efficiently applied to large-scale systems e.g. organizational changes of processes in Specialist Outpatient Clinics.

Keywords

health care;discrete event simulation;quality of service;

Data

Language: English
Year of publishing:
Typology: 1.02 - Review Article
Organization: UM FOV - Faculty of Organizational Sciences
Publisher: Slovensko zdravniško društvo
UDC: 614.2
COBISS: 28444633 Link will open in a new window
ISSN: 1318-0347
Parent publication: Zdravniški vestnik
Views: 802
Downloads: 118
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Other data

Secondary language: Slovenian
Secondary title: Diskretna dogodkovna simulacija administrativnih in medicinskih postopkov
Secondary abstract: Izhodišča: Medicinske postopke pogosto ovirajo administrativni postopki. Pri administrativnih postopkih je problematična zlasti neenakomerno porazdeljena delovna obremenitev, ki vodi do večje verjetnosti nastanka človeških napak. Sistemski pristop zagotavlja integracijo medicinskih in administrativnih postopkov. Glede na izsledke raziskav in primere najboljših praks je diskretna dogodkovna simulacija primerna me- toda za uresničevanje sistemskega pristopa. Metode: S pomočjo intervjujev, diagramov UML in diagramov poteka smo izvedli podrobno analizo administrativnih postopkov. Porazdelitev prihodov bolnikov in časov strežbe smo modelirali na osnovi podatkov, ki smo jih pridobili iz informacijskega sistema in s pomočjo meritev na deloviščih. Z diskretno dogodkovno simulacijo smo želeli ponoviti obnašanje obstoječega sistema (ločena administracija) in simulirati predlagane spremembe (združena administracija). Rezultati: Povprečna zasedenost administrativnega osebja v 100 simulacijskih tekih za posamezne klinične oddelke je 83,8 % na oddelku za revmatologijo, 61,9 % na oddelku za hipertenzijo in 47,2 % na centru za vojne veterane. V primeru uporabe združene administracije bi povprečna zasedenost administrativnega osebja znašala 74,3 %. Zaključki: Diskretna dogodkovna simulacija je pokazala, da bi združena administracija prispevala k enakomernejši porazdelitvi obremenitev med administrativnim osebjem in k višji kakovosti storitev ter omogočila enostavnejše upravljanje s človeškimi viri. Predstavljeni pristop lahko učinkovito uporabimo tudi na večjih sistemih, na primer pri organizacijskih spremembah na Polikliniki.
Secondary keywords: Hospital Departments;Organization And Administration;Patient Admission;Administrative Personnel;Quality Of Health Care;Workload;Efficiency, Organizational;Health Care Costs;Bolnik, sprejem v bolnišnico;Bolniški oddelki;Administrativno osebje;Kakovost zdravstvenega varstva;Delovne naloge;Učinkovitost organizacijska;Zdravstveno varstvo, stroški;
URN: URN:NBN:SI
Type (COBISS): Scientific work
Pages: str. 345-353
Volume: ǂLetn. ǂ80
Issue: ǂšt. ǂ5
Chronology: maj 2011
ID: 9594774