Journal of the Korea Society for Simulation (한국시뮬레이션학회논문지)

The Korea Society for Simulation (한국시뮬레이션학회)
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A Task Assignment Rule for the Registered Nurses of the Emergency Department of Hospital Using Multiple System Attributes

병원 응급실에서 여러 속성을 고려한 간호사 치료태스크 할당 규칙에 관한 연구

  • 김대범 (강남대학교 산업시스템공학과)
  • Received : 2009.09.07
  • Accepted : 2009.11.24
  • Published : 2009.12.30
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Abstract

Overcrowding in an Emergency Department (ED) of hospital is a common phenomenon. To improve the service quality and system performance of the ED, a task assignment rule for the Registered Nurses (RNs) is proposed in this paper. At each task assignment point, the rule prioritizes all treatment requests based on the urgency which is determined by the multiple attributes such as accomplishment time of treatment task, elapsed time of treatment request, total remain time to patient discharge, and number of remain treatments. The values of partial urgency with a single criterion are determined and then overall urgency is computed to find the most urgent one among current requests with the importance weights assigned to the criteria. Through computer simulation, the performance of the proposed rule is compared with current rule in terms of the length of stay and system throughput in a simplified ED system of the hospital M.

병원 응급실의 환자 과밀 현상이 점점 더 심해지고 있는 상황이다. 본 연구에서는 응급실의 치료 서비스 수준 및 시스템 효율을 개선하는 방안의 일환으로 간호사에게 치료 테스크를 할당하는 규칙을 개발하고자 한다. 제시하는 규칙에서는 매 치료 테스크 할당 시에 4개 속성 즉 1)태스크의 수행시간, 2)치료 요청 후의 흐른 시간, 3)모든 치료가 다 끝날 때까지의 총 남은 시간, 4)남은 치료단계의 개수를 동시에 고려한다. 각 치료 치료태스크의 기준별 긴급도를 계산하고, 기준별 중요도를 반영한 전체긴급도 값을 계산한 후 이 값이 가장 큰 태스크에 간호사를 할당한다. 컴퓨터 시뮬레이션을 통하여 M 병원 응급실의 간략화 모형을 대상으로 기존규칙과 비교실험을 수행하였다. 환자가 응급실에 머문 평균시간 및 단위시간 동안 처리한 환자 수를 평가기준으로 실험한 결과 제시한 규칙이 두 기준 모두에서 우수한 성능을 보였다.

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