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Increased population growth, demographic change and technological advancements are some of the challenges facing the healthcare sector in the near future. As new Norwegian hospitals are planned with a lifespan of 50 years, it is crucial that these hospitals both satisfy present and future demands of users and owners. This paper suggests that building viable hospitals is an important step in satisfying...
Sustainable technology means technology is capable of being maintained over a long span of time; independent of shifts in both hardware and software. Effective implementation and use of Health information Systems (HIS) for years to come is crucial as sustainable HIS. Numbers of studies have discussed various factors contributes towards barriers for successful implementation of HIS. However, very few...
Operation room (OR) is one of the key service resources in healthcare resources and plays an important hub role in hospital operation management. We study surgery planning on a given planning period and take service time uncertainty and downstream resource requirements into consideration. Based on the mean and covariance of service time distribution, we develop a distributionally robust chance-constrained...
Digital subtraction angiography (DSA) is a technique used in radiology to clearly visualize blood vessels in a bony or dense soft tissue environment. It is widely applied in traumatology department and orthopedics. Usually, the amount of doctors qualified for DSA is limited, so not all the patients in emergency will be treated immediately. Patient's condition may get worse because of treatment delay...
While it is known that there is a strong relationship between form and function, often the impact of physical design on workflow can be overlooked in the design of new buildings and spaces. Correspondingly, further research is needed to examine how the efficiency of patient care is impacted by physical layout decisions. With the development of new models, relationships between physical layout designs,...
This paper considers the operation scheduling and planning of elective patients in the Orthopedic Department of the “Lozano Blesa” Hospital in Zaragoza. We assume an ordered list of patients that should be planned for surgery in two available rooms, each room being possible to be used for a specific duration per day. Based on the average durations of surgeries that have been computed by considering...
Stroke is a major cause of mortality and long-term disability in the world. Predictive outcome models in stroke are valuable for personalized treatment, rehabilitation planning and in controlled clinical trials. We design a new multi-class classification model to predict outcome in the short-term, the putative therapeutic window for several treatments. Our model addresses the challenges of class imbalance,...
Emergency service decision makers are facing the following problems: where to locate the ambulance facility and how many ambulance vehicles should allocate to the station in order to meet the patient needs effectively. In this paper, we study the problem of joint planning of emergency medical services management, which typically consist of emergency location planning and patients assignment to hospitals...
The Operating Theater (OT) is known to be a fluctuating production system. The unpredictability of populations' needs has an impact on the required human and material resources. This makes the Operating Theater a dynamic environment. Thus, use of dynamic models is getting more realistic to solve OT layout problems. The Dynamic Operating Theater Layout Problem (DOTLP) has a main objective, to minimize...
This paper deals with the home health care services. The home health care services are defined as a set of medical, paramedical and social services delivered to patients in their domicile rather than in hospital. In this paper, a new Mixed Integer Linear Programming (MILP) model is proposed to make a planning for a home health care problem. The model is optimizing routes and rosters for the health...
This paper discusses the layout of different functional departments in the hospital. By relocating the departments overall, we aim to minimize the average walking time for the outpatients from the registry to their consulting departments, thus enhancing the hospital's service efficiency. Actually, this is typically a quadratic assignment problem (QAP). Since the hospital's departments tend to vary...
Surgical scheduling is an important decision-making problem in the operational management of hospital. We formulate this problem as an Integer Programming model for the purpose of maximizing the surgical throughput, and discuss the decomposition property of the model based on the inner features of the surgical scheduling. At last an exact optimal method, Branch-and-Price, is proposed to solve the...
Pertamina's Central Hospital (RSPP) is a hospital which implements up-to-date by applying the concept of some systems that support each activity. Any information system that is integrated with other systems, but some RSPP owned systems are information systems of inpatient care, Ambulatory information systems, Lab information systems, Radiology information system and information systems Pharmacy (Pharmacy)...
Multidisciplinary approach to treatment planning of brain tumors is a worldwide increasingly practice, this approach is achieved using multidisciplinary team meetings (MDTM) to discuss cases. Studies have shown two main barriers to maximizing the efficiency of the MDTM: lack of information and inadequate presentation of available data to the team members. These difficulties is the reason for design...
Although in the last years technology innovation in healthcare brought big improvements in care level and patient quality of life, hospital complexity and management cost became higher. For this reason, necessity of planning for medical equipment procurement within hospitals is getting more and more important in order to sustainable provide appropriate technology for both routine activity and innovative...
Operating Theatre (OT) is one of the most complex areas within the hospital in terms of activity management and safety control. Although OT activity represents a serious issue in hospital, there is still a lack of guidelines or regulations currently available. On the other hand for post-surgery infections many studies and guidelines have been already provided, especially regarding specific prevention...
An optimization framework is proposed to plan a sensor network in hospital environments aimed at tracking medical assets. The framework is based on three modules: the first module defines the critical levels of the hospital locations based on the assets movements and criticality; the second module models the coverage characteristics of the sensors; the third module, based on the outputs of the previous...
The first infrastructure and healthcare technology (HT) assessment has been implemented in Ulaanbaatar. The outputs of the assessment are the main inputs to the capital planning process the Ministry of Health will start implementing in 2014. Since the boom of the Mongolian economy in 2009 there was a need to rationalize the capital investments in health. The capital planning process has been developed...
Since 2012, hospitals have spent 37% percent of their budgets on modernization, renovation, and new construction projects. A major cost driver for this spending is the inflexibility of current headwall systems: the central hub for patient monitoring, communications, and equipment [1]. There is a pressing demand for a modern and versatile all-in-one device that provides medical staff with the essential...
Objective: This study was designed to investigate acute hospital pandemic influenza preparedness in Victoria, Australia, particularly focussing on planning and management efforts.
Methods: A prospective study was conducted by questionnaire and semi‐structured interview of health managers across the Victorian hospital system from July to October 2011. Participants with responsibility for emergency...
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